COMPLETE THE SHORT FORM BELOW:

Please Take The Time To Fill In The Quick Form Below. 👇

This Will Give Us All Of The Info I Will Need To Best Understand You And Your Current Situation Before Our Call & Help Us Make Most Of The Time We Have Together.

The Warrior Dad Experience Application Form

Please take a few minutes to fill out this form as honestly as possible.

It will do 2 things:

1) Help us enter into the call with more context on your personal and professional life so we can make the most of our time together.

2) Figure out if The Warrior Dad Experience would make sense for you and if you would be a good fit for the brotherhood.

Remember, It Only Takes ONE DAD To Change A Family Tree Forever.

YOU can be that DAD!

Dare to be uncommon.

Love, Lead, Legacy.

Create a Legendary Day!

- Jeff Wickersham

First Name *

Last Name *

Email *

Phone *

Section 1: Personal

How Many Kids Do You Have? What Are Their Genders And Ages? *

How Committed Are You To Being a Great Dad? *

I’M ALL IN

Somedays

I don’t care about my kids

Where do you feel like you are failing as a Dad? (If you aren't aware of what's stopping you, you won't be able to fix it.) *

How Committed Are You To Having a Better Marriage? *

I’M ALL IN

It doesn't matter that much

Sounds nice, but it’s too late

I’m not married

What’s the biggest challenge right now in your marriage/relationship? (If you aren't aware of what's stopping you, you won't be able to fix it.) *

What Is Your Ultimate Goal Over The Next 12 Months? *

Be 100% Honest. Why Haven't You Achieved The Above Yet? (I'm Serious. All Progress Starts By Telling The Truth.) *

If You Could Describe Your Current Reality In Five Different Emotions, What Would They Be? *

If You Could Wave A Magic Wand Over Your Life And Change Your Single Biggest Personal Weakness, Problem, Struggle Or Issue Fast... What Would It Be And Why Is It Important? (Hint: Ideally Has To Do With YOU And Nothing To Do With Your Work Or Other People). *

What Is Your Why In Life? What Keeps You Moving? What Motivates You On A Daily Basis? (Without A Strong Why, We Lack Purpose and Find It Much Harder To Stay Disciplined And Sacrifice Short Term Pleasure.) *

Section 2: Professional

What industry are you in? *

How Committed Are You To Making More Money? (When you start attacking life on your toes and performing at a higher level, you will improve professionally.) *

I’M ALL IN

I’m good, I don’t need to make more

It could go either way

What is the biggest problem you are facing in your business/career? (If you aren't aware of what's stopping you, you won't be able to fix it.) *

What type of coaching do you prefer at the end? *

1 on 1

Group

Self paced

World-class personal and professional coaching is an investment for you, your wife, your children, and your legacy. If we are a fit, are you prepared (mentally and financially) to make that decision for yourself? *

Yes, I’m Ready, Let’s Go

I think so, but I have some questions

Nope, I don’t think I can do that

Anything else you want to tell me? *

COMPLETE THE SHORT FORM BELOW:

Please Take The Time To Fill In The Quick Form Below. 👇

This Will Give Us All Of The Info I Will Need To Best Understand You And Your Current Situation Before Our Call & Help Us Make Most Of The Time We Have Together.

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