Team Member Enrollment

Please fill out the best you can. Your profile can be updated

First Name *

Last Name *

Phone *

Personal Email *

Address

Street Address *

City

State

Country

Postal code

Job Title

Name on Contract - If you want paid as a company

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Email *

Spouse Name -if you have one

Payment Preferences

Bank ACH

Zelle

Bank Name

Routing Number

Account Number

Shirt Size

Date of birth - Birthday Wishes

Headshot

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 5 Files )

Driver's License

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.