Family Reset Qualifier

Step 1 of 3

Child's Age


Your child must be between the ages of 5 and 12 years of age to qualify.

Please enter his or her date of birth below.





Instructions

Please answer the following two questions to determine if your child qualifies for BMI’s Family Reset program.

Privacy Statement

Please note that no information is being sent to the servers that host this site, nor is this site saving any information regarding you or your child. The information that you enter however will be stored on your computer and we do recommend that you close your browser once the form is completed.