Founding Cohort Application
Apply for
90 Days.

This isn't a sign-up form. We review every application to make sure the program is the right fit.

  • 1
    Basic Information
  • 2
    Location & Goals
  • 3
    The Honest Questions
  • 4
    Commitment & Review
Rewire & Conquer
Katy & Richmond, TX
Step 1 of 4

Let's start with
the basics.

No fluff. Just the information we need to reach out about next steps.

Please enter your first name.
Please enter your last name.
Please enter a valid email address.
Please enter your phone number.
Step 2 of 4

Location &
Primary Goal.

This program is built for men in the Katy and Richmond area.

Please select your location.
Please select your primary goal.
Step 3 of 4

The honest
questions.

Honest answers lead to better results. We read every one.

Please answer this question.
Please answer this question.
Step 4 of 4

Review &
Submit.

Confirm your commitment and submit. We will follow up within 1-2 business days.

Please answer this question.
Please confirm this.
Important: Rewire and Conquer is a coaching program, not a licensed medical or addiction treatment service. Please consult a licensed provider if you require clinical support.
✓

Application
Submitted.

We have received your application and will review it within 1-2 business days. If it is a fit, you will hear from us to schedule a private fit call.

→
Check your email. A confirmation is on its way. Look out for an email from us — if it's not in your inbox, it might be hiding in spam or junk.
→
We will follow up in 1-2 days if your application is a fit.
→
Fit call scheduled. Onboarding near Cinco Ranch or via Zoom.
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Apply — Rewire & Conquer
Step 01 of 05

Your Details

Let's start with the basics. How do we reach you?

Please enter your first name.
Please enter your last name.
Please enter a valid email address.
Please enter your mobile number.
Please select your age range.
Optional — you can skip this

Ticking this box is entirely optional. Your application will proceed regardless of your choice here.

Step 02 of 05

Where You Are Now

Be honest. This helps us understand where you're coming from so we can meet you there.

Please select an option.
Please share your biggest challenge.
Step 03 of 05

Your Goals

What does winning look like for you? The clearer you are, the better we can help.

Please select a focus area.
Please share your vision of success.
Step 04 of 05

Your Commitment

We only work with people who are ready to do the work. No judgment — just honesty.

Please select your commitment level.
Please let us know how you found us.
Step 05 of 05

Almost There

Review the terms below and submit your application. We'll be in touch shortly.

You must agree to the privacy policy to proceed.
By submitting this form, you confirm that all information provided is accurate and complete. Your application will be reviewed and a member of our team will reach out to you within a few business days.
✓

Application Received

Thank you for taking this step. Your application has been submitted and our team will review it shortly.

→ Check your inbox. A confirmation has been sent to the email address you provided.
→ We'll be in touch. Expect to hear from us within a few business days.
→ In the meantime, follow us on social media for daily motivation and insights.
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