Fitness & Well Being Professional Sign-up

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Fitness & Well-Being Professional's Sign-up

Congratulations! You are a short step away from enjoying the benefits of becoming FITForces Member! Please complete ALL the fields below and once you submit this form, we will approve it within 24h-48h. Check back under -Find a Professional- for your Online Profile that will be listed under your field of expertise. Please note that it is very important to keep your profile uptodate.

Special Note: When choosing your password please make sure that it contains more than 8 characters. Also, it is required that you enter your valid email address. If you do not do the above, there will be errors with your sign-up.

Username and Password Information

Username :		Password :
Confirm Password :

How did you hear about FitQuebec?

Other:

Contact Information

First Name:		Last Name:
E-mail:		Home Phone#
Work #:		Cell Phone#:

Address

Home Address:		City:
Province:		Postal Code:

Professional Certifications

What professional certifications do you have?

CanFitPro

Y.M.C.A.

ACE

University Degree	Annie	Energy Cardio
McGill	BPHE

Other:

Professional Experience

Time spent in the Fitness field?

Your level of fitness experience is

Number of accumulated teaching hours

Professional Experience Part #2

Do you have a car? Yes No

Do you have a full time job? Yes No

Would you like to teach full-time? Yes No

I can Teach the Following

	Low Impact	Aero Salsa
	Stretching	Nutrition
	Yoga	Senior Aerobics
	Step	Power Yoga
	Aerobics	Spinning
	Aqua Fitness	Aero Funk
	Swiss Ball	Boot Camp
	Cardio Tai Chi	Tonus
	Pre/Post Natal	Step Box
	Cycling	Aero Kick-Box
	Aeromix	Belly Dancing
	Yoga Fit	CPR
	Dance	Mini Trampoline
	Aero Tai-Box	Body Design
	Hip Hop	Tai Chi
Other:

Professional Availability

Are you a personal trainer? Yes No

What is your availability?

Time of Availability:

How many hours per week?

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