Open to any group exercise instructor teaching any style of group exercise that is: pre-choreographed, freestyle, mind-body. (Must be a Fitness Australia registered member). 

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* 1. Nominee Full Name:

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* 2. Fitness Australia Registration Number (If unknown contact 1300 211 311)

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* 3. Number of years registered with Fitness Australia

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* 4. Current Employment:

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* 5. Contact Information

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