Spring/Summer/Fall 2023 Nordic Walking Class Registration

Nordic WalkFit Registration – Registration for Spring/Summer 2023. Group Class outings begin Monday, April 17, 2023

Register and take the first step towards positively improving your health & life! Daily class offerings for all fitness levels are planned from Spring to Fall seasons. We organize small group classes with a maximum of 15 participants per class instructor/nordic walk leader. All classes are lead by a Certified Nordic Walking & Fitness Instructor with First Aid/CPR training!! Reap all the health benefits of exercising safely outdoors with qualified, experienced and knowledgeable leaders! Register today! Join us for Fun, Fitness, Friends and Fresh Air! www.nordicwalkfit.com 613-867-2744
Name*

First NameLast Name
E-mail*
Address*

Street Address

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CityProvince

Postal Code
Cell Phone Number*

Area CodePhone Number
Home Phone Number

Area CodePhone Number
Emergency Contact Name*
Person we should contact in case of an emergency
Relationship to Participant*
Emergency Contact Phone Number*

Area CodePhone Number
Please select the number of class points you plan to nordic walk or hike with us this season and/or year. Additional classes can be purchased as you go and need. Pricing includes GST/HST Class schedule and locations are communicated by e-mail weekly PLEASE NOTE: All purchased classes must be used in the current year and cannot be carried over into another year.*

$130 - 10 Nordic Walking/Hiking class points PLEASE NOTE: one Adventure hike excursion is equivalent to 2 nordic walking classes (ie: 1 hike = 2 nordic walk class points) You can mix hike outings and nordic walk class points to suit your schedule$240 - 20 Nordic Walking/Hiking class points$300 - UNLIMITED - 3 Season Club Member Pass (Spring/Summer/Fall) Enjoy as many Nordic WalkFit classes and hike outings you'd like thru 3 seasons!Drop-In Adventure Hike $25 Intermediate/Advanced 4-6 hour outings lead by a Certified Hike Leader. Dependent on available capacity. Contact Nadine at nadine.imbleau@gmail.com to schedule a date or hike you'd like to attend.Drop-In Nordic Walking Class $15/class. Dependent on available capacity. Contact Nadine at nadine.imbleau@gmail.com to schedule a class date you can possibly attend.Public "Learn How to Nordic Walk" Clinic $20/personPRIVATE LESSON $65/person or couple - "Learn How to Properly Nordic Walk" - Contact Nadine nadine.imbleau@gmail.com to schedule date & time
WEST OTTAWA (KANATA, STITTSVILLE & NEPEAN) NORDIC WALKING SCHEDULE Please select which Class Day(s) & Level you plan to attend most often. All classes include cardio, stretch and strength exercises appropriate for the class fitness level.. Meet up locations & Directions are communicated by e-mail weekly.

Learn How to Nordic Walk Clinic - Saturday, April 15 @10:30AM Kanata Recreation CentreMONDAY 9:30AM Beginner/Intermediate 60 mins (4-5kms)MONDAY 9:30AM Advanced 75-90mins (5+kms)MONDAY 10:30AM GENTLE BEGINNER 45-60mins ( ~ 3kms)NEW! MONDAY 6:00PM Int/Advanced 75-90mins (5+kms)TUESDAY 9:30AM (BARRHAVEN) Beginner/Intermediate 60-75 mins (4-5kms)WEDNESDAY 9:30AM Beginner/Intermediate 60mins (4-5kms)WEDNESDAY 9:30AM Advanced 75-90 mins (5+kms)WEDNESDAY Adventure Day Hike 9:30 AM approx. 2-4 hours in technical forested or mountain trails (ie: Gatineau Park).THURSDAY 9:30AM (BARRHAVEN) Beginner/Intermediate 60-75 mins (4-5kms)NEW! THURSDAY 10:30AM GENTLE BEGINNER 45- 60 mins (~3kms)THURSDAY 6:00PM Int/Advanced 75-90mins (5+kms)FRIDAY 9:30AM Intermediate 60mins (4-5kms)FRIDAY 10:30AM Gentle Beginner 45-60mins (3kms)SATURDAY Adventure Hike 9:30AM approx. 2hours (more local NCC Greenbelt or West Ottawa trails)PRIVATE LESSON - Email nadine.imbleau@gmail.com to schedule date, time & location
Payment by*

ChequeInterac Bank e-transfer
Please mail your cheque to Nordic WalkFit c/o Nadine Imbleau-Redman 542 Pennycross Lane Carp, ON K0A 1L0.
Please use your bank's online banking app or website to make your Interac E-transfer to nadine.imbleau@gmail.com (automatic deposit is set up to Nordic WalkFit account with this e-mail address).
- Please include in the notes area the name of the course and the name of the person registered, to help us connect payments to registrations.
For your safety and enjoyment, we require every participant to submit a Health Questionnaire (Par Q) upon registration to ensure you are registering for an appropriate fitness class level. Have you updated your health information with us this year?*

YesNo
Health Questionnaire with Par Q

At least once per calendar year, each participant must submit an updated Health Questionannaire with Par Q below. Please inform Nordic WalkFit of your health status or of any changes to your health any time before, during or after registering for a class.

We also ask that each participant fill in an Emergency Contact Card and bring it to every class, so that it will be available in case of any emergency.

Click the link above to display a printable form for the card in a new browser window or tab.
Birth Date ?(DD/MM/YYYY).

0/20
Age (years)?.*

0/10
A/ Do you have any acute or chronic conditions that should be taken into account in determining the class most suitable for you? (please select any that apply)*

1. Asthma/ Lung Disease2. Diabetes3. Osteoporosis4. Rheumatoid Arthritis5. Osteoarthritis6. Frozen shoulder or tennis elbow7. Visual Limitation8. Pain in any area9. Balance, gait or coordination limitations10. Heart DiseaseNone of the above

Please provide additional health information if you answered YES to any of the questions in the Health Par Q.

0/200
Urban Poles are available at each class for borrowing if participants do not have their own poles.

Yes, I will need to borrow nordic walking/ urban poles (all poles will be sanitized prior and after use)
How did you learn about Nordic WalkFit?*
Comments or Questions for us?.

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Thank You!

Your spot is "on reserve" upon pressing the REGISTER NOW button. Confirmation of your class and spot will be upon receipt of payment. We look forward to enjoying Fun, Fitness, Friends and Fresh Air with you this year! www.nordicwalkfit.com 613-867-2744
Should be Empty:

	Yes	No
1. Has your Doctor ever told you that you had a health problem? If yes, please provide additional information below.
2. Has your Doctor ever told you that you have high blood pressure?
3. Have you ever had a stroke or heart attack?
4. Have you ever had pain in your chest?
5. Do you ever feel faint or have dizzy spells?
6. Have you had surgery in the past 6 months?
7. Do you have any bone or joint problems?

Nordic WalkFit Registration – Registration for Spring/Summer 2023. Group Class outings begin Monday, April 17, 2023

Health Questionnaire with Par Q

Thank You!