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Instructor Certification Registration Form

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WORKSHOP DATES:
5-day intensive pre/postnatal fitness 2007 course schedule:

March 26 - 30
September 17 - 21

WORKSHOP LOCATION:

Nadal Jewish Ccommunity Centre
750 Spadina Ave., Toronto, Ontario, (s/w corner Bloor & Spadina, Spadina Subway stop)

FEE:
Canadian residents $600.00 CND + 6% GST = $636  (early bird special $550.00 CND + 6% GST=$583.00)
U.S. and International residents  $600.00 Cdn  + 6% GST = $636 (early bird special $550.00 US + 6% GST) = $583.00
* (early bird rate applies to registration received with full payment 30 days prior to course start date)

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___________________________________________

________________________________________________________________

________________________________________________________________

Reasons for interest in this specialty credit?_______________________________

________________________________________________________________
Payment:
Amount paid ______________

______ Cheque          _____Visa          _____MasterCard       _____ Amex
Cheques payable to BABY & ME FITNESS INC.

Credit Card # ___________________________ Expiry Date ________________

Signature _______________________________________

Send to: BABY & ME FITNESS, Nadal JCC ,
750 Spadina Ave.,, Toronto., Ont. M5S 2J2;  Tel: 416-604-2249, Fax: 416 604-0949
E-mail: info@babyandmefitness.com