CrossFit Affiliate Inquiry Form

Thank you for your interest in becoming a CrossFit Affiliate. Please fill out the form as completely as possible, and note that your proposed affiliate name should include "CrossFit."

CrossFit Affiliate Application

About You

* First Name:
*Last Name:
*Phone:
*Email:
*Birthdate:	Enter in MM/DD/YYYY format
Business Partner Contacts:	Use the text box below to provide the contact information for all other legal parties responsibile for this affiliate.

About Your Affiliation

*Proposed Affiliate Name:
Legal Business Name:
*Billing Street:
*Billing City:
*Billing State:
*Billing Zip:
*Billing Country:

Your Gym

Please provide as much information regarding the location of your gym as possible.

Street Address:
*City:
*State/Province:
Zip:
*Country:

Certification

Have you been certified?:
*When?:	Enter in MM/DD/YYYY format
*Where?:
*What Level?:
Do you subscribe to the CrossFit Journal?:

*Affiliate Application Essay:

Explain what CrossFit means to you, why you want to become a CrossFit affiliate, and what you want to achieve as an affiliate. This essay does not need to be long but it should be from the heart.

Also, please include:

Background information on yourself and any of the people you will be partnering with.
Information on your exposure to CrossFit (work at or exposure to other CrossFit facilities, length of time training with CF methods etc).
Information on past or future CrossFit events you have attended or plan on attending.
If you will be a CrossFit Only facility or if you will offer other types of Fitness classes.