Coach Challenge Registration

1

Have you ever participated in a Challenge before as a coach?* This field is required.

YESNO

2

Coach's Full Name* This field is required.

First Name

Last Name

3

I agree to pay a $20 buy in fee and order my personal consumption for the challenge.* This field is required.

I agree

4

I understand that there are NO REFUNDS given for any paid fees.* This field is required.

I understand and agree

5

Please snap a screen shot of your payment confirmation WITH THE DATE and your personal consumption order. You will need to submit these on the next screen to continue. * This field is required.Go to this link to make your buy in Payment: https://paypal.me/charlestonbtc

I understand

6

Please upload a picture of your payment confirmation and personal consumption order confirmation here. * This field is required.

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