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First name Last name Address 1 Address 2 Town/City Postcode
Email Phone number How many Classes do you teach What style of classes do you teach
Will you be teaching (or are you from) a disadvantaged community? YesNo Will you be teaching any of the below groups? Individuals living from Lower Socio Economic GroupsDiverse Ethnic CommunitiesLGBTQ+ communitiesIndividuals with a disabilityIndividuals with long term health conditionsFemale only classesMale only classes
Fitness Qualification/s you hold (PDF upload only Max 8mb) Please attach a copy of your qualifications here. E.g. Level 2 Exercise to music, Level 3 personal training.
Please describe how completing this training will help to. get more people participating, or will improve the retention of your current class participants
