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? *

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

IMPORTANT APPLICATION DETAILS:

If you submit the application but fail to book a call, a member of our team will be reaching out via text in regards to your application!

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

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