Register - I Am Fire Challenge

Total Body Challenge Registration

We Are Excited To Be A Part Of Your Total Body Transformation ... The Challenge Begins October 25th!

Simply fill out the form below to begin your total body transformation and select the Register button at the bottom of the form. After submitting the form, you will receive an email verifying your email account. Click on the link provided in the email to complete the registration process.

Official Rules & Regulations

In order to participate in the challenge, you must *read* and *acknowledge* your agreement to the I Am Fire Challenge Official Rules & Regulations after completing this form.

Contact Information

Your contact information is required to participate in the I Am Fire Challenge. Your address and phone number will allow us to ensure that only those who meet the Official Rules & Regulations are participating in the contest.

First Name:
Last Name:
Birthdate:	MM / DD / YYYY
Gender:

Street Address Line 1:
Street Address Line 2:	optional
City:
State:
Postal Code:
Phone Number:	### - ### - ####

Account Information

Providing your email address helps us uniquely identify you within the system. Your email address, along with the password entered below, will serve as your access account to the I Am Fire Challenge system. Please enter an email address you check regularly since the I Am Fire Challenge will send you progress reminders during the challenge.

Email Address:
Confirm Your Email Address:
Password:	8 to 16 characters
Confirm Your Password:

Complete Your Registration

After submitting your registration, you will receive a confirmation email. Your registration IS NOT COMPLETE until you click the link in the email to confirm the above email address.

*I have read and agree to the I Am Fire Challenge Official Rules & Regulations.