Pre-course registration form

Please fill in this form/questionnaire as part of the registration process for the Community Exercise Foundation Course.  Your answers will help ensure we provide a course tailored to the needs of all course attendees.  Once received, course tutor Kris Tynan will be in touch to confirm your place and arrange payment.  The course fee is $50 per person.

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* 1. Name:

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* 2. Organisation (or group/s you are involved with) -  for example, church, marae, community group

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* 3. Contact email:

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* 4. Contact phone no:

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* 5. Please describe your previous exercise/fitness instruction experience:

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* 6. Do you have a current first aid certificate?

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* 7. Please tell us what you most want to learn about - tick all the boxes that apply

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* 8. Please tell us more about the people who come to your class/group (or you would like to work with in future) - specifically the ethnicity and demographics of attendees (e.g. age, gender, special pop etc)

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* 9. To gain a course completion you must be able to attend both Saturday sessions and complete the self-directed learning component.  Please confirm below that you are able to make this commitment.

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* 10. Please tell us how you heard about this course (we appreciate your feedback)

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