INSTRUCTOR TRAINING REGISTRATION

Please complete all required fields to successfully submit your registration.

* 1. Contact Information

* 3. Gender

* 4. Education

* 5. Teaching and Presentation Skills

* 6. Chirunning & Chiwalking Experience

* 8. To what extent do you feel you have learned the techniques?

* 9. What terrain do you run/walk on?

* 12. Please Describe (If "Yes" to Question 11)

* 13. Other sports in which you participate.

* 14. Other Physical Fitness Certifications/ Qualifications

* 18. Distance per Week (If "Yes" to Question 15)

* 21. Type of Injury

* 22. Choose Course Title OR Instructor Name

* 23. Goals of the Training Workshop (Please write 250-500 words that describes why you want to become a ChiRunning & ChiWalking Instructor)

* 24. Any other information that has not been covered but that you would like us to know.

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