Almost there! Take 2–5 min to submit this application. It will help us better understand your needs and goals!

First Name *

Last Name *

Preferred Pronouns *

Age (18+ Only) *

What Are Your Health/Fitness Goals? *

Do you have anyone supporting you with these goals right now? *

What current struggles are keeping you from your goals? *

What are the key values you look for in a coach? *

How Did You Hear About Our Program?

Are you currently employed? If so where? *

If you like Masculinity Made and are ready to start, what specific resources do you have to invest at this time? *

I have less than $300 in savings, my income is month to month, and no available credit.

I have at least $1000 to invest, I have monthly income I can use towards a payment plan, and I'm open to using credit as an option.

I have more than $3000 to invest, and have credit available.

Email *

Phone *

List any medical issues/medications

Anything else you find important to note?

Check this box to confirm the following: I understand that the purpose of this call is to learn about Masculinity Made, how it works, and how I can join. I understand that the program is not free, and requires an investment to join. I will show up to the call on time, and with the intention of joining Masculinity Made if it seems like a good fit. *

Yes I understand

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