CERTIFICATION FORM

CERTIFICATIONS RADICAL FITNESS NZ 2017

REGISTRATION FORM

Radical Fitness NZ offers you, whether an existing or ‘budding’ Instructor, a great way to achieve your goal of becoming an internationally trained and accredited Radical Fitness Instructor in one or many of our 10 programs.
Begin the journey of making your dreams a reality!

Radical Fitness certifications come with 20 CPD points which can be obtained after passing your certification. Certificates must be submitted to REPS NZ in order to be issued these points.

For relevant Radical licensed gym discounts or certification dates, please complete and submit the registration form with your club name. We will get back to you asap with the discounted certification price and relevant dates.

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I WANT TO REGISTER IN THE CERTIFICATIONS FOR THE FOLLOWING PROGRAMS::

FIGHT DO POWER X55 KI MAX OXIGENO TOP RIDE U BOUND MEGADANZ RADKIDZ FACTOR F 

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I WOULD LIKE TO DO A REFRESHER FOR THE FOLLOWING PROGRAMS::

FIGHT DO POWER X55 KI MAX OXIGENO TOP RIDE U BOUND MEGADANZ RADKIDZ FACTOR F 

*Registrants must complete the whole Certification (whether 2 or 3 days) for the Refresher to be valid, which is FREE to all current Official Trainers.
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Radical Official Trainer  Fitness Instructor Radical Licensed Club Staff/Owner Other 

Radical-Licensed / Other Club(s):

Personal Details

First Name
Surname:
Street Address:
Suburb:
City:
Postcode:
Home phone:
Mobile:
Email:

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PAYMENT OPTIONS - I wish to pay by:

1. CHEQUE //// - Please make cheques payable to: Radical Fitness NZ Send to: 497 Hutt Rd ALICETOWN LOWER HUTT 5010 NEW ZEALAND 

2. CREDIT CARD //// Payment: For secure credit card payments please phone, 0508 RADICAL (7234225) 

3. BANK TRANSFER - DEPOSIT-ANZ //// RADICAL FITNESS NZ LTD ANZ BANK ACC # 06 0229 0409285 00 Particulars: RF Cert Ref: Your Name 

Contact us:
PHONE: 0508 RADICAL (7234225)