Custom Training - Professional Fitness Registry

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Professional Registry

Attention health & fitness professionals: certified personal trainers, certified athletic trainers (ATC), martial arts instructors, exercise physiologists, nutritionists, physicians, chiropractors, physical therapists, lifestyle & weight management consultants, and massage therapists! Increase your exposure over the World Wide Web on our highly interactive site. If you would like to be part of our professional registry and are interested in receiving clients that are looking for your services in your level of expertise, increasing your exposure over the Internet, etc., please fill out our feedback form.

You will be notified within 24 hours of acceptance of our application. Once accepted, prepare to receive clients in your area, get e-mails from clients looking for your qualified answers to their questions, etc.

This is a FREE service, so take advantage!

Note that your address and phone number will be kept strictly confidential and will be used for filing purposes only.

First Name:
Last Name:
Street Address:
City/Town:
State or Province
Zip Code:
Country:
Phone Number:
E-mail:
Web address:

What area(s) of expertise are you signing up for?
	(Some browsers may require you to hold down the shift or ctrl key to make multiple selections)

What is the highest level of education attained in your selected area(s)?
	(Some browsers may require you to hold down the shift or ctrl key to make multiple selections. Upon application approval, we will ask you to supply proof of your education level attained.)

If you selected Other please explain (100 characters max); otherwise, put N/A in the box below.

List national certifications and/or licensures in your professional areas (100 characters max)
(Upon application approval, we will ask you to supply proof of your certifications/licenses)

List organizations that you are licensed/certified by (100 characters max)

How long have you been practicing?

How often do you practice your profession?

Custom Training has assembled a panel of leading experts to answer questions posed by visitors to our site. Our Ask The Expert forum allows the person to select a topic area and then choose an expert based upon their qualifications and a brief biography. We invite you to participate in this forum. If selected, we will contact you and ask you to provide us with a photo that we can display with your biography. Note that this service is free to our visitors, that the questions are screened by us before they are sent to you, and that this is a chance for you to increase your exposure on the World Wide Web. Are you interested in participating?

Would you be interested in supporting this site by writing articles (If yes, we will contact you)?

Remarks/Philosophy (255 characters max)

Please list your activities/interests (255 characters max)

Disclaimer By submitting this form you are relieving Custom Training, LLC (the "corporation") from any liability. Under no circumstances, and under no legal theory, will the corporation be liable to you for any damages, including lost profits, lost date, or other indirect, special, incidental or consequential damage arising out of the use, reliance, or inability to use or rely on information provided by the corporation, even if the corporation, its licensors, authorized dealers, or authorized agents have been advised of the possibility of such damages, or for any claim by any other party.