Natural Fitness Ambassador
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1. About YOU!
*
1
. Please tell us a little about you:
Please tell us a little about you:
First + Last Name:
Training Studio:
Home Address:
Home Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
2
. How Young Are You?
How Young Are You?
18-25
26-35
36-54
55+
3
. Where do you currently teach or practice yoga?
Where do you currently teach or practice yoga?
4
. How long have you practiced yoga?
How long have you practiced yoga?
Less than 2 Years
2-5 Years
6-10 Years
Over 10 Years
*
5
. Why are you interested in becoming an Ambassador for Natural Fitness?
Why are you interested in becoming an Ambassador for Natural Fitness?
*
6
. In what way are you involved in your community or conservation efforts?
In what way are you involved in your community or conservation efforts?
7
. Do you have your 200 hour RYT Certification? If so, where did you achieve your certification? (Please also note any other training you've had or if you currently lead any teacher training or wellness programs).
Do you have your 200 hour RYT Certification? If so, where did you achieve your certification? (Please also note any other training you've had or if you currently lead any teacher training or wellness programs).
8
. We would love to stay in touch, but would like to know how much you would like to hear from us:
We would love to stay in touch, but would like to know how much you would like to hear from us:
Discussion Panel/Focus Groups
New Product Testing
Consumer Newsletter
Highlighted Instructor Series
Promotions/Events
Any other suggestions?
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