Please Print or Type Information on the Mail/FAX In Registration Form

TRAINING CITY:   ___________________   TRAINING DATES:   _______

Name:    ____________________________________________
Address:   ___________________________________________   
City/State/Zip:  _______________________________________   
Phone:  _____________________________________________   
Email:   _____________________________________________   

Kickbox Instructor Training Early Registration ....$129.00... $149.00 (late registration)

Kickbox 2008 Workshop Early Registration ....$69.00... $79.00 (late registration)

Kickbox Choreography Workout....$15.00

Mat Pilates I Workshop Early Registration ....$69.00... $79.00 (late registration)

Mat Pilates II Workshop Early Registration ....$69.00... $79.00 (late registration)

Get On The Ball Workshop Early Registration ....$69.00... $79.00 (late registration)

Pilates On The Ball Workshop Early Registration ....$69.00... $79.00 (late registration)

Plunge Into Fitness Early Registration ....$69.00... $79.00 (late registration)

In-Home Personal Training....$69.00... $79.00 (late registration)

Senior Exercise ....$69.00... $79.00 (late registration)

Yoga...The Mystery Revealed I (Workshop) ....$69.00... $79.00 (late registration)

Turn Thru The Burn (Cycling) Early Registration ....$69.00... $79.00 (late registration)

CEC/CEU Package Special -  Early Registration ....$198.00... $240.00 (late registration)

Mat Pilates Manual ....$30.00          Kickboxing Fitness Manual....$20.00  

Stability Ball Manuals (Set of 3) ....$30.00   (Manuals are optional, but recommended)

TOTAL: Registration Fees  ________  

(10% discount if registering for 2 or more trainings - ***No discounts on the manuals)

PAYMENT METHOD: (please circle one):   VISA MC AMEX Check Money Order 

Amount: $ _____ CARD # I__I__I__I__I__I__I__I__I__I__I__I__I__I__I__I__I

Expiration Date (Month) ____  (Year) ____ Name on Card __________________________ 

Authorized Signature  _____________________________________________________  

CERTIFICATION: (Participants do not have to be certified to attend a training) 

I am certified with __ACE __AFAA __ACSM__NDEITA __NASM__AEA__ISSA__ISCA

 __No Certification __Other                     Cert number(s): ________________________

PARTICIPATION WAIVER: I hereby waive any and all claims to damages I may have against Behind The Scenes Fitness, its owner, officers, employees, Eversley Forte, members of the BTSF Training Team, the Facility at which the training is held, any agent or representative of any of the preceding, for any and all injuries suffered by me while traveling to, from and participating in this event. Behind The Scenes Fitness recommends that all participants seek individual consultation with a physician of their choice before engaging in any physical fitness activity, including a Behind The Scenes Fitness workshop or certification. Behind The Scenes Fitness disclaims any responsibility for the individual use or application of information or techniques presented at the Behind The Scenes Fitness workshop or certification by the participant. Due to weather, presenter illness, travel mishaps or any other situation out of the control of Behind The Scenes Fitness, Behind The Scenes Fitness reserves the right to reschedule any workshop or certification. I understand that I may be videotaped or photographed during this event and Behind The Scenes Fitness may use the images for any and all uses. Having signed below where indicated, participant acknowledges and agrees to the foregoing.

Signature: _________________________________________________ Date: ______________________

 

Please send completed registration form and payment to:
Behind the Scenes Fitness  
65 Washington Street, Suite 296  
Santa Clara, CA 95050 
phone:   1-408-244-4895 
email:       Click for contact info

Feel free to FAX your order to our office. fax #: 1-408-248-3897

 

CLICK HERE FOR ONLINE REGISTRATION

 

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Download Training Brochure 

(Adobe Acrobat File)

Training Dates and Locations

Prices/Registration Form

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Home Study Continuing Education

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Mat Pilates Workshops (MPI & MPII)

Aqua Workshop (AQ)

Pilates on the Ball (PB)

Kickbox Workshop and Certification (KC & KW)

In-Home Personal Training (IHPT)

Seniors Exercise Instruction (SEI)

Get On The Ball Workshop (BW)

Group Cycling Workshop (CY)

Yoga Workshops (YW)

For ALL training questions call 408-244-4895 or Click here to contact BTSF

 

 

 

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