Document 6572029

Waterloo, Ontario – CSEP Certified Personal Trainer® (CSEP-CPT) Workshop & Exam
REGISTATION:
** Registration and Payment is
completed with CSEP Office –
See contact provided at the
bottom of Page 2**
INSTRUCTOR INFORMATION:
Zach Weston
[email protected]
519-616-0927
WilfrId Laurier University
75 University Ave
Waterloo, On
N2L 3C5
OVERVIEW:
Workshop Only Cost:
$400.00+tax
Practical Only Cost:
$250.00+tax
Workshop & Exam Cost:
$600.00+tax
REGISTRATION:
1) Registration Form
2) Non-refundable payment
Made out to CSEP
Register Now for November 15th and 16th 2014
Practical Examinations Offered: November 29th and 30th, 2014
Workshop Information
This workshop is for candidates interested in obtaining their CSEP Certified Personal Trainer® (CSEP-­‐CPT) certification from the Canadian Society for Exercise Physiology (CSEP). The purpose of the workshop is to prepare candidates to challenge the theory and practical examinations. The workshop will review information for the six-­‐Core Competencies and four-­‐ Practical Exam scenarios. The sessions will be a combination of both theory/lecture instruction and practical experience /hands-­‐on learning. Each session will cover multiple topics with additional focus on areas indicated by candidates after registration. Location: Wilfrid Laurier University Athletic Centre Exercise Physiology Lab (AC-­‐160) Workshop only Cost: $400.00+tax Practical Exam Only Cost: $250.00+tax Workshop and Exam Cost: $600.00+tax Workshop Dates and Times: Nov 14th and 15th 9:00am-­‐4:30pm Practical Exam: Nov 29th or 30th Times to be worked out with instructor. Candidate Registration Information
Interested Candidates must complete the following process by November 6th, 2014: 1) Complete application form on page 2, (Please scan and email or mail to CSEP contact provided on page 2). 2) A non-­‐refundable payment payable to CSEP. 2
TYPE
TITLE HERE
Waterloo,
Ontario
– CSEP Certified Personal Trainer (CSEP-CPT®) Workshop & Exam – REGISTRATION FORM
CSEP-CPT Workshop Registration Form
For Administration Use Only:
Notes:
Confirmed €
November 15th and 16th, 2014
Please print clearly and fill in all requested information.
Name: _____________________________________________________________________________
Mailing Address:
___________________________________________________________________
___________________________________________________________________
Contact Information:
Phone: (___) _____ - ________
Day €
Evening € Anytime € (please check preference)
E-mail: ______________________________________________________
Confirmed €
Confirmed €
Payment
o
o
o
Workshop Only $400.00
Practical Exam Only $250.00
Workshop and Practical $600.00
______
Tax (GST/HST)
o ON – 13%
______
GST Reg. Nº R121749667
Total:
☐ Certified Chq or Money Order payable to the
Canadian Society for Exercise Physiology enclosed
Confirmed €
______
☐ VISA
☐ MASTERCARD
☐ AMERICAN EXPRESS
Cardholder name: __________________________________________
Card number: ______________________________________________
Expiry date (mm/yy): _____ / _____
CVD# ________
Authorized Signature: __________________________________
Please Return Registration Form To:
[email protected]
18 Louisa St. Suite 370
Ottawa, Ontario, K1R 6Y6