GYROTONIC®/ Gyrokinesis®
Click here for Print Version	INSTRUCTOR COURSE/EXAM  REGISTRATION FORM (each applicant to complete separate form)

Name: Mr [  ] / Ms [  ]___________________       ____________________________(will appear on certificate)

                                     First                                              Family

Date of birth: dd/mm/yyyy______________________________

 

Tel:____________________Fax:_______________________E-mail:_______________________________

 

Address 1:_____________________________________________

 

Address 2:_____________________________________________ 

 

Address 3:_____________________________________________

 

City:_______________________________

 

Country:____________________________

 

Profession:_________________________  

 

Fitness Qualification(s):_____________________________

 

Have you had any previous Gyrotonic® experience or training ? Yes [  ]  No [  ]

 

If Yes, please give details and name of Master Trainer

 

__________________________________________________________

 

Referred by: ___________________________________________________________

 

Club/Facility Name:______________________________________________________

 

 Address:_______________________________________________________________

 

I do not wish to register for training at the moment. Please keep me updated with your course schedules. [  ]

 

I wish to Register for the following course(s):

 

 

In order to register your  course and / or exam choices:

Please mark with x and fill in date and venue as appropriate.

GYROTONIC®/GYROKINESIS®/GYROTONER®-Instructor Training Courses  US$   US$   US$  Course/Exam/Apprenticeship Please Mark [x] Date Venue  Base Fee US$/Person   Add:Studio Fee   Registration Deposit  GYROTONIC® Pre Training (24 hrs) [  ] 9-13 Sept 2010  HongKong-IsoFit  $     850.00  $       150.00  $         400.00 GYROTONIC® Pre Training Part 1 (12 hrs) [  ] 2-4 Apr 2010  Singapore-The Moving Body³  $        850.00 $       150.00 $         400.00 GYROTONIC® Pre Training Part 2 (12 hrs) [  ] 10-11 Apr 2010  Singapore-The Moving Body³ GYROTONIC® Foundation Level 1-Part1-30 hours [  ] 15-18 Oct 2010  HongKong-IsoFit  $        1,500.00 $       250.00 $         500.00 GYROTONIC® Foundation Level 1-Part2-30 hours [  ] 22-26 Oct 2010  HongKong-IsoFit GYROTONIC® Foundation Level 1 -Part1-30 hours [  ] 9-14 May 10  Singapore-The Moving Body³  $        1,500.00 $       250.00 $         500.00 GYROTONIC® Foundation Level 1 -Part2-30 hours [  ] 20-25 Jun 10  Singapore-The Moving Body³ GYROTONIC® Supervised Appr Hours -part1-15 hours [  ] TBC  HongKong-IsoFit  $        350.00 $       100.00 $         250.00 GYROTONIC® Supervised Appr Hours -part2-15 hours [  ] 14-16 Jan 10  HongKong-IsoFit  $        350.00 $       250.00 $         250.00 GYROTONIC® Level 2-Prep -15 hours [  ] TBC    $        650.00 $       150.00 $         250.00 GYROTONIC® Level 1 Certified & Pre Trainer Update Course-12 hours^ [  ] TBC   HongKong-IsoFit  $        350.00 $       100.00 $         150.00 GYROTONIC®-Final Cerification Course-3 days 15 hours [  ] 20-22 Feb 2010   KL-Pantai²  $        350.00 $       250.00 $         250.00 GYROTONIC®-Final Cerification Course-3 days 15 hours [  ] 18-20 Jan 2010   Tokyo-Akemi¹  $        350.00 $       250.00 $         250.00 GYROKINESIS®-Foundation Course - 36 hrs - Parts1 & 2 [  ] 8-16 Apr 10   KL-Essential Dance Academy°  $        950.00 $       150.00 $         400.00 GYROTONIC®-Jumping Stretching Board - Certification Course Pre-Req.GYROTONIC® Foundation Level 1 Certification [  ] TBC   HongKong IsoFit  $        1,125.00 $       175.00 $         450.00 GYROTONIC®-Archway Course (6days-36 hrs)-AM Pre-Req.GYROTONIC® Foundation Level 1 [  ] TBC   HongKong IsoFit  $        750.00 $       150.00 $         300.00 GYROTONER®-Instructor Training Course Pre-Req.GYROTONIC® Foundation Level 1 Certification [  ] TBC   HongKong IsoFit  $        650.00 $       100.00 $         200.00 For Registration and Contact ¹Akemi-Tokyo gyrotonictokyo@gmail.com ²Rosnuh-Pantai Intergrated Rehab Sevices  rojusuf@pantai.com.my ³Audrey-The Moving Body  adcotta@yahoo.com  ºGan-Essential Dance Academy  yeefen@yahoo.com  1 Total Payable: (Base Fee+Studio Fee) US$   2 Deposit Payable: (On registration).   US$ 3 Balance Payable: (1-2) At least 3 weeks before course date.   US$

VAT or other taxes may be payable at some locations in addition to the above fees. Please check with studio. Terms and Conditions of Registration       1) Registration to a course/exam will be confirmed once "Deposit Payable" has been received and applicant  has fulfilled all necessary pre-requisites for the course/exam.       2) Balance Payable must be paid at least 3 weeks before start of course/exam.     2) All successful registrations will be confirmed by Iso Fit by email or fax or letter.     3) Places in a course/exam will be allocated on a first come first served basis.     4) Course fees include instruction, course manual, light regreshments and Certificate of Attendance when applicable. Cancellation/Refunds           5) Iso Fit reserves the right to cancel or postpone courses if there are less than 6 participants registered. 6) Deposits paid are not refundable unless the course/exam for which the deposit was paid, is cancelled. 7) Registration may be cancelled by participant up to 30 days before the course/exam in which case deposit paid will be refunded less a US$100.- administration fee. No refund of deposits/fees paid for cancellations made 29 days or less before the course/exam.       8) Iso Fit reserves the right to cancel any course/exam. Fees paid will be refunded in full.               I have read and agree to the above Terms and Conditions of Registration.               Name:________________________________   Signature:________________________________ I will make payment by:         Cash/cheque  [  ]         Remittance  [  ]         Credit Card  [  ]         Please Print this form, complete and sign. Fax to: +852-2869-6903 or post to Iso Fit. Payment Instructions