About Fit & Strong!

For Providers

It's easy to offer the low-cost, evidence-based Fit & Strong! program. Providers need to:

Register to offer Fit & Strong! A Fit and Strong! staff member will then contact you to describe the program and discuss implementation, timeline, etc.
Recruit participants and develop a contact list of interested participants.
Enroll the first 20 participants in your first offering of Fit and Strong!
Recruit a certified exercise instructor to register for Fit & Strong! instructor training.
Obtain the equipment.
Schedule the class and make copies of the evaluation and attendance forms.

First Name:
Last Name:
Title:
Organization:
Address 1:
Address 2:
City:
State:
ZIP Code:
Email:
Phone:
Check type of organization:	Senior Center YMCA/YWCA Parks/recreation department Hospital/Medical Center Senior Housing Other, specify

	How did you hear about Fit & Strong!:
	How did you find the Fit & Strong! web site?:
	Do you currently provide other physical activity programs? Yes No
	Do you have certified exercise instructors on staff? Yes No