Registration - Chi Living

Registration

Please complete all fields to successfully submit your registration. 

Personal Information
 
Sex
Education              
Choose Your Course or Instructor
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Teaching and Presentation Skills
(Check all that Apply)
Goals of the Training Workshop
Anything Else You Want to Tell Us
ChiRunning & ChiWalking Experience
(Check all that Apply)
Read Book
Viewed DVD
Audio CD
Length of Time Practicing ChiRunning / ChiWalking:
Fitness Experience
What terrain do you run on?
(Check all that Apply)
Event Running
If YES please fill in below:
Area of Body Injury:
(Check all that Apply)
Professional Training
Sources of Running / Walking Information
(Check all that Apply)
Other Physical Fitness Certifications/Qualifications
(Check All that Apply)
(this will be required for Certification)
Other Sports You Participate In

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Love Letters

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