Online Registrations

To register online, please fill out the following form below.

Please note: If you have previously registered by phone please DO NOT register online. To submit your sessions please fax or mail in your registration form. If you have a discount coupon or credit note, you must register by mail as we cannot process coupons via the internet.

Have questions? Call us at 1-800-667-5622, local at (416) 493-3515, or e-mail us at conferences@canfitpro.com.

Last Name

Please enter your last name into this field.

Please note that this is a required field

New Last Name?

In order to help us maintain your personal information
more accurately, please let us know if this is a new
last name for you that has changed prior to this conference.

Just check this box and then enter your previous last name
in the field provided.

Thank-you Previous Name

Please enter your previous last name into this field
if it has changed prior to this year's conference.
First Name

Please enter your first name into this field.

Please note that this is a required field

Unit, Suite, Apartment No.

Please enter any unit, suite, or apartment number here.

Address

Please enter the first line of your address into this field.

Please note that this is a required field

New Address?

In order to help us maintain your personal information
more accurately, please let us know if this is a new
address for you that has changed prior to this conference.

Just check this box and then enter your previous address
in the field provided.

Thank-you PO Box or RR#

Please enter your P.O. Box or Rural Route #
(if applicable)
City

Please enter your city into this field.

Please note that this is a required field

Province/State

Please select your province or state from the list provided.

Please note that this is a required field

Postal Code

Please enter your postal code into this field.

Please note that this is a required field

Country

Please select your country from the list provided.

Please note that this is a required field

Previous Address

Please enter your previous address into this field
if it has changed prior to this year's conference.
Home or Club Address?

Please indicate whether the address you have entered is
your home or club address.
Home Phone Number

Please enter your home phone number into this field.

Please note that this is a required field

Business Phone Number

Please enter your business phone number into this field.
Cell Phone Number

Please enter your cell phone number into this field.
Fax Number

Please enter your fax number into this field.
Email Address

Please enter your email address into this field.

Please note that this is a required field

Club Name

Please enter your fitness club's name into this field.
What you do

Please select the titles that best describe what it is that
you do.
Are you new to this conference?

If you new to this conference, please let us know and then
let us know who recommended that you should come.
Who referred you?

Please enter the full name of the person that recommended that
you should come to this conference into this field.

Date:	11/21/2008
Can-Fit-Pro Membership ID
BCRPA number (if applicable):
	Mr. Mrs. Miss Ms. Dr.*required
Last Name	*required New last name?
Previous Last Name
First Name	*required
Unit/Suite/Apt.#:
Address	*required New address?
PO Box/Rural Route #:
City	*required
Province/State	*required
Postal Code	*required
Country	*required
Previous Address
This is my	home address club address
Home Phone	( ) - *required
Bus. Phone	( ) -
Cell Phone	( ) -
Fax	( ) -
Email	*required
Club Name
Select the titles(s) that describe what you do	Owner/Manager Director/Coordinator Personal Trainer Pilates or Yoga Instructor Allied Health Professional Group Exercise Instructor (incl cycling) Other
Are you new to the conference?	Yes No
Who referred you to the event?	(please enter full name)
How did you hear about our conference?
Promotional Code

REGISTRATION FEES

	Member (CanFitPro and/or BCRPA)	Non-Member Rate*

Conference Registration
Pre-registration ends October 24, 5:00 PM EST	$149	$208*
	* Non-Members - Register now at the non-member rate and receive a complimentary one year professional membership with Can-Fit-Pro! ($69 value)

PROFESSIONAL MEMBERSHIP Renewal ..................................................... $49

Purchase

PRE-CONFERENCE WORKSHOPS (October 31)
(Delegate = person attending the conference on Saturday and Sunday)

	Member Delegate	Member Non-Delegate	Non-Member Non-Delegate	Don't sign me up

101 - STOTT PILATES® Pilates with Props, Level 1 & 2	$119	$159	$218	$0
102 - Can-Fit-Pro CPR Level A Recertification	$29			$0

SPECIALTY SESSIONS (November 1-2)

	Member Cost	Non-Member Cost

201 - Fast-Track Yoga Teacher Training	$329	$388

Yes, I'll attend the Welcome Reception Halloween-style (Friday, October 31, 8 p.m. - 10 p.m.)