Affiliate Area - Warrior MBS

What is your status(Required)

I acknowledge I completed the Warrior MBS program and am committed to the extra time a Warrior MBS captain requires.(Required)

I acknowledge I completed the Warrior MBS program and am committed to the extra time a Warrior MBS captain requires.

Which Group Are You Joining?(Required)

Full Name

Email

Age(Required)

Phone Number

Height

Weight

How did you hear about Warrior MBS?

For your age, how would your rate your fitness level?

How would you rate your mental clarity?

How solid is your spiritual life (prayer life / relationship with God)?

What is the main reason(s) you desire to join Warrior MBS?

Are there any physical ailments you are concerned about in beginning this program (ex: bad knee, recent surgery, chronic back pain etc.) ?

What do you do for a living?

Enter Card Details

Card Details

Cardholder Name

Billing Address

Street Address State / Province / Region ZIP / Postal Code

Would you like to someone?

Would you like to sponsor someone?

How many people?

Final calculation

Price: $0.00

Product Name

Price:

Total

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