Registration and Team Selection

First Name *

Last Name *

Email *

Phone *

Mobile Phone Required

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Challenge Classification

What best describes you? *

Coach: Optavia

Challenger: Optavia

Challenger: Other

Coach & Team Captain Information

As an Optavia Coach, you can use this challenge to:

Support your current clients
Attract and connect with new clients
Gain warm leads when challengers invite others

Team Captain Role:

Lead and encourage your team
Create a Messenger group for connection

Not Leading a Team?

If you prefer not to be a Team Captain, your challengers and leads will be orphaned and possibly assigned to another Optavia Coach.

⚡ By default, Optavia Coaches are registered as Team Captains.

👉 If you prefer to play only as a challenger, select “Challenger” below.

Registration Role *

Team Captain

Challenger

🔹 Registration Track Options

1. Free Track

Join the community
Daily coaching & accountability
❌ No prizes or bonuses

2. Premium ($35) (Most Popular)

Everything in Free
✅ Eligible for cash prizes (Points + % Weight Loss)

3. Premium + Bundle (Best Value)

Everything in Premium
✅ Choose a bonus bundle ($99–$375)
✅ Extra tools to accelerate results

Choose Your Track *

Free (not eligible to win money)

$35 - Premium - Challenge Only

$99 - Premium + Protein Pack (1 Bag Aminos)

$149 - Premium + Protein Combo (1 Whey + 1 Amino)

$299 - Premium + Fat Burn Accelerator

$375 - Premium + The Ultimate Fat Burn Experience (VIP Package)

Coach Registration Consent

As a coach, your $35 covers your entry into the challenge.

Important to know:

All funds go directly toward cash prizes and challenge development costs (platform, tech, support).
You’ll receive an email notification whenever a new team member joins through your Magic Link or through your challengers Magic Links. These are warm leads you can follow up with!

💡 Bonus: Coaches are eligible to win prize money!

Coach consent to being charged for the challenge *

I understand that I will be charged for the 28 Day Reset and how my donation will be utilized.

Premium Challenge Registration

If you choose a Premium Bundle, you will get instructions to finalize your order after registration.

Quick Health Check-In

What is your #1 health goal right now? *

(ex: more energy, lose weight, improve sleep, reduce stress, build strength)

What usually gets in the way of reaching that goal? *

(ex: time, cravings, motivation, busy schedule, not knowing what to eat)

Why is this goal important to you? *

(ex: feel more confident, keep up with kids, long-term health)