Interested in Training?

Use this form to register for training and to list your credentials. We will reply to your e-mail within one business day. Thanks for your interest!

First Name:
Last Name:
Title:
Organization:
Address 1:
Address 2:
City:
State:
ZIP Code:
Email:
Phone:
  
 How did you hear about Fit & Strong!:
 How did you find the Fit & Strong! web site?:
 Are you a fitness instructor certified by a nationally recognized fitness organization?

 If yes, which organization?
 If no, have you trained in any other evidence-based programs (ex. A Matter of Balance, Chronic Disease Self-Management Program)?
 Experience/Background (Please briefly list any exercise certifications, previous classes taught, etc.)
 Which version of Fit & Strong! Would you like to implement?:


 Availability for Training (best days of the week, generally speaking):