Brand Ambassador Application

Thank you for your interest in the Champion Factory Coaching Ambassador Program. Please fill out the form below and click "submit" to get started. You may also click here to download and complete our application form, then email the completed form to: katie@championfactorycoaching.com

Date of Application*
MM slash DD slash YYYY
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
Sex*
- Male
- Female
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Goals for Race Season 2015:*
Top Five Priority Results:*
Community Touch Points (Social Media/Mentor/Areas of Influence):*
Why Do You Want to be a Part of Our Ambassador Program (150 Words):*
Do You Currently Have a Triathlon Coach?*
- Yes
- No
Do You Have Any Sponsor/apparel Obligations That Would Conflict with Wearing the Branded Team Kit?*
- Yes
- No
If You Answered Yes to the Previous Question, Please Explain:
Interesting Information About You Outside of TRI:*
Favorite Workout:*
Favorite Food:*
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Phone
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