The 2008 dates for the Re-Certification Camps are: February 8,9,10, June 20,21 & 22 August 22,23 & 24.
RE-CERTIFY / REGISTRATION INFO
 
Tae BoŽ Certification
Boot Camp Program Registration Form (.PDF)
Hold Harmless Agreement
(.PDF)

Medical Release Form
(.PDF)
To view or print the form, you need to Download Adobe Acrobat Reader or if you already have it Click Here
I would like to reserve a spot for:
Personal Information



Select One
First Name:
Last Name:
Phone Number:
Email Address:
Birthdate:
Occupation:
Requirements
1. A copy of your current CPR card from the Red Cross or other CPR certifying organization. If your card from last year is still valid, you do not need to send a copy. (If CPR is not completed, send a copy of card when completed).
2. On a separate sheet of paper, please tell us about your teaching experience during the past year. Also, use these sheets of paper if you need additional space to complete any of the criteria below.
3. Payment in full. Please see payment information in the program registration form.
4. Please read and sign both the participation form and the medical treatment form, and send them to us with your payment.
Health Information
Health Status:
Excellent        
Good
Poor
When was your last physical exam:
(Should be within the last year)
Do you have any health conditions:
Yes
No
If yes, please describe:
Teaching Information
How many Tae BoŽ fitness classes do you teach a week:
If you are currently teaching Tae BoŽ fitness classes, provide the following information. If you teach at more than one location, provide the information for each location
Facility Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Website:
Facility Name:
Street Address:
City:
State:
Zip Code:
Phone Number:
Website:
Street Address:
City:
State:
Zip Code:
Phone Number:
Website:
Facility Name:
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