Diabetes Friendly Class Registration
Suitable classes or regular activities include: circuits low impact classes, aqua classes, walking or running groups, yoga, tai chi, pilates, strength and balance classes, dance and movement modalities. If you are a personal trainer please register at the end of the form. Please complete the following questions to register classes or activities as 'diabetes friendly'. There is space for six classes to be registered on this form. If you are registering more than that number please complete another form. If you have any queries please email kris@eamnz.com or call 021 262 8886.
I confirm the classes/activities I am registering are suitable for entry level participants, provide modifications and are run on a regular basis
*
Are suitable for entry level participants
Provide modifications
Are run on a regular basis
I confirm the instructor/trainer has completed the Challenge Diabetes upskill module on line or in person at the Summer Hui (Feb 13th ) or the SfL Workshop (Feb 17th)
*
Online
In person
Not required as this is a walking/running activity
Complete a separate form for each class
Complete a separate form for each class
Complete a separate form for each class
Complete a separate form for each class
Complete a separate form for each class
Complete a separate form for each class
Name of Instructor/trainer
*
First Name
Last Name
Email of instructor/trainer
*
name@gmail.com
FOR PERSONAL TRAINERS
Submit
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