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Instructor Certification Home Study Course
Registration Form

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Please print and mail or fax to BABY & ME FITNESS, address below.

Date:________________________________

Name:_________________________________________________________________

Address:______________________________________City:_____________________

Province/State_______________________Postal/Zip Code:______________________

Home Tel.:______________________________Bus. Tel.:_________________________

E-mail: ________________________________________________________________

Relevant/related experience________________________________________________

_____________________________________________________________________

_____________________________________________________________________

List reasons for interest in this specialty course?_______________________________

_____________________________________________________________________
Payment:
Canadian residents $600.00 Cdn + 6% GST = $636
U.S. and International residents $600.00 USD

Method of payment: ____ cheque        ____money order   _____bank draft
Cheques payable to BABY & ME FITNESS INC.

Please download and print this registration form, complete the information and send with
payment to the following address:

Send to: BABY & ME FITNESS, Miles Nadal JCC, 750 Spadina Avenue,
Toronto., Ont. M5S 2J2;  Fax: 416-604-0949
E-mail: info@babyandmefitness.com