Workshop Form

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* Indicates required field

Name *

First

Last

Email *

Phone Number *

Address *

Line 1

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City

State

Zip Code

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Are you 18 years of age or older? *

Yes No

What topic best describes your workshop interests? *

Wellness Physical Fitness Kettlebell Training

If you are interested in getting certified as a kettlebell trainer, please return to the "Courses" page and select the Kettlebell Trainer Certification option.

Other: *

If none of the options above apply, please describe your interests below.

What is the estimated size of your group? *

1-5 6-10 11-20 21-40 Over 40

Do you have a facility to host your workshop? *

Yes No

If "yes," select the best option to describe your facility: *

School Fitness Center Dojo Church

If none apply, proceed to the next question.

Other: *

Please describe your facility if none of the options above apply.

On what month would you like to hold the event? *

Submit

Thank you for taking that all-important first step.

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