Finish Your FMT Certification!
You must complete this section to receive your certificate.
Date of Course
*
/
Month
/
Day
Year
This is required. (Please enter the First Day's date if you took a 2 day course)
Please Select The Course You Completed
FMT BASIC
FMT ADVANCED
FMT BASIC AND ADVANCED
FMT BLADES
FMT BLADES ADVANCED
FMT BLADES AND BLADES ADVANCED
FMT ROCKPODS
FMT ROCKFLOSS
FMT ROCKPODS AND ROCKFLOSS
FMT MOVEMENT SPECIALIST D1
FMT MOVEMENT SPECIALIST D2
MT MOVEMENT SPECIALIST BOTH DAYS
FMT PEDIATRICS
FMT MOBILITY SPECIALIST
FMT TAMC
FMT PERFORMANCE SPECIALIST
FMT VIBRATION SPECIALIST
FMT INDUSTRIAL ATHLETE
Only one course can be selected.
Name
*
First Name
Last Name
Email
Confirmation Email
example@example.com
Phone Number
-
Area Code
Phone Number
License Number
*If you are a student you can complete with 0's.
State
*
Please type state abbreviation.
Select Profession
*
DC
LMT
PT
ATC
OT
PERSONAL TRAINER
PERSONAL TRAINER (ACSM)
STUDENT
OTHER
If other, please type in the box below.
If you are a Personal Trainer, please list your certifying organization (eg, PMA/NPCP, NFPT, ISSA, etc).
Note: This information is required for appropriate approval information to be listed on your certificate.
If you took your course LIVE, in person, please enter the City, State where you took your course. If you took a course via Webcast, please leave this field blank.
Please enter the EXACT city and state spelled correctly, for example, Santa Cruz, CA
Submit
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