INSTRUCTOR TRAINING REGISTRATION

Please complete all required fields to successfully submit your registration.

Contact Information

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* 1. Contact Information

Gender

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* 3. Gender

Education

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* 4. Education

Teaching and Presentation Skills

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* 5. Teaching and Presentation Skills

Chirunning & Chiwalking Experience

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* 6. Chirunning & Chiwalking Experience

To what extent do you feel you have learned the techniques?

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

What terrain do you run/walk on?

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

Please Describe (If "Yes" to Question 11)

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

Other sports in which you participate.

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* 13. Other sports in which you participate.

Other Physical Fitness Certifications/ Qualifications

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* 14. Other Physical Fitness Certifications/ Qualifications

Distance per Week (If "Yes" to Question 15)

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

Type of Injury

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* 21. Type of Injury

Choose Course Title OR Instructor Name

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* 22. Choose Course Title OR Instructor Name

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

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

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

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

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