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CPTN Conference 2012 Registration

Note: All links found on this page will open in a new window to assist with completing registration.

You can register online using the Conference 2012 Online Registration Form or offline using the Conference 2012 Print Registration Form (PDF, 150KB). Please refer the Conference 2012 Schedule or the Conference 2012 Brochure (PDF, 2.16MB) for the Conference 2012 Session Information before registering.

Session Selection

Sessions for the conference days are divided into five or six time slots. Only one session per time slot can be assigned to a registrant. On your completed session selection you may indicate your order of preference (1st, 2nd, 3rd) for each time slot in case you are unable to receive your first choice. This is done by filling in the last digit of the session code (session codes precede the session names) on the registration form included with this brochure. Session distribution is determined on a first-come first-served basis. Register early!

Wristband and Ticket Policy

Wristbands must be worn by all conference delegates for the entire weekend (they are waterproof). They are your proof of conference registration and allow official access to the session rooms. Your wristband and applicable session badge must be shown at the entrance to each session room. A $75 fee will be charged and picture ID will be required to replace a lost or removed wristband.

Continuing Education Credits

The 2012 CPTN Conference has been pre-approved for CECs for CPTN, CATA, NSCA and OFC.

Certificate of Attendance

All conference delegates will receive a certificate of attendance.

Cancellation or Change of Speakers

CPTN reserves the right to cancel or change speakers due to unforeseen circumstances.

Pre-Registered Delegate Check-In and On-Site Registration Hours:

• Thursday, May 31, 2012 at 8:00 AM to 9:30 AM; 12:00 PM to 1:30 PM
• Friday, June 1, 2012 at 7:30 AM to 10:00 AM, 1:30 PM to 2:30 PM
• Saturday, June 2, 2012 at 7:30 AM to 10:30 AM

Conference 2012 Student Registration Fees (1 person - Print Registration Method)

Dates	Member	Non-Member
After, March 30, 2012	$199 CAD	$219 CAD

Note: For high school and university students, please use the Conference 2012 Print Registration Form (PDF, 150KB). You are required to submit a copy of your student ID with your registration.

Conference 2012 Group Registration Fees (3 or more people - Print Registration Method)

Dates	Member	Non-Member
After, March 30, 2012	$269 CAD	$319 CAD

Note: For group rates please use the Conference 2012 Print Registration Form (PDF, 150KB). You require a group of 3 or more people to be eligible for group rates. All group registration forms must be submitted together.

Conference 2012 Registration Fees (1 Person - Online/Print registration Method)

Dates	Member	Non-Member
After, March 30, 2012	$299 CAD	$349 CAD

Conference 2012 Pre-Conference Session Fees

Sessions	Member	Non-Member
Using Research for Decision Making	$99 CAD	$149 CAD
CPTN Yoga Level 3: Yoga for Athletes and Personal Trainers	$169 CAD	$219 CAD
Reconditioning a Dsyfunctional Squat Pattern	$99 CAD	$149 CAD
FKCI™ Ultimate Cross Training	$169 CAD	$219 CAD
How to Breathe for Improved Health, Muscle Mass, Strength or Endurance	$169 CAD	$219 CAD
Sandbag Training	$99 CAD	$149 CAD

Conference 2012 Online Registration Form

Note: For last minute registrations, please call 416-979-1654 to register or register at the Conference during the check-in and on-site registration hours.

Conference 2012 Registration Form:

Personal:

Title:

Mr. Mrs. Ms. Miss Dr.

First Name: *

Last Name: *

Address Line 1: *

e.g. 123 ABC Street

Address Line 2:

e.g. Apt. 123, Unit. 123, Suite. 123

City: *

Province/State: * (None) ------------------------------------------------------- Outside U.S./Canada ------------------------------------------------------- Alabama Alaska Alberta American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northern Marianas Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Palau Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon

Country: * (None) ------------------------------------------------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican city state Venezuela Viet Nam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Yemen Yugoslavia Zambia Zimbabwe

Postal Code/Zip: *

e.g. A1A 2B2 (Canada), 12345 (U.S.)

Contact:

Phone Number: *

e.g. 123-456-7890, 123-456-7890 x123

E-mail Address: *

e.g. example@example.com

Members:

I am not a CPTN Member

I am a current CPTN Member *

I would like to register for Membership (+$55 HST Incl.)

Membership ID: *

Please enter Membership ID for confirmation.

Certification Renewal:

I will renew certification status later

I would like to renew certification status now

Certification Renewal Option: * $0.00 (None) $75.00 (1 Year Renewal - 7 CECs Required) $140.00 (2 Year Renewal - 14 CECs Required)

Please choose which CECs are required:

CPTN

CATA

NSCA

OFC

Conference Options:

Conference Sessions: * (None) PC Sessions (1 Day - Pre-Conference) FR Sessions (1 Day) SA Sessions (1 Day) PC/FR Sessions (2 Days - Recommended) PC/SA Sessions (2 Days - Recommended) FR/SA Sessions (2 Days - Recommended) PC/FR/SA Sessions (All Conference Sessions)

Conference Fees:

Conference Non-Member Price: * $0.00 $249.00 (Friday, June, 1, 2012) $269.00 (Saturday, June, 2, 2012) $349.00 (Friday, June 1, and Saturday, June 2, 2012 - After March 30, 2012)

Conference Member Price: * $0.00 $189.00 (Friday, June, 1, 2012) $209.00 (Saturday, June, 2, 2012) $299.00 (Friday, June 1, and Saturday, June 2, 2012 - After March 30, 2012)

Please refer to the Conference Registration Fees table

Thursday, May 31, 2012 Sessions:

Pre-Conference Session: * (None) Using Research for Decision Making CPTN Yoga Level 3: Yoga for Athletes and Personal Trainers Reconditioning a Dsyfunctional Squat Pattern FKCI™ Ultimate Cross Training How to Breathe for Improved Health, Muscle Mass, Strength or Endurance Sandbag Training

Non-Member Price: * $0.00 $149.00 $219.00

Member Price: * $0.00 $99.00 $169.00

Please refer to the Pre-Conference Session Fees table

Friday, June 1, 2012 Sessions:

8:30 AM - 9:30 AM: *

e.g. FR1A, FR1B, FR1C (1^st, 2^nd, 3^rd choice)

9:45 AM - 11:00 AM: *

e.g. FR2A, FR2B, FR2C (1^st, 2^nd, 3^rd choice)

11:15 AM - 12:30 PM: *

e.g. FR3A, FR3B, FR3C (1^st, 2^nd, 3^rd choice)

1:30 AM - 2:30 PM: *

e.g. FR4A, FR4B, FR4C (1^st, 2^nd, 3^rd choice)

2:45 PM - 4:00 PM: *

e.g. FR5A, FR5B, FR5C (1^st, 2^nd, 3^rd choice)

4:15 PM - 5:30 PM: *

e.g. FR6A, FR6B, FR6C (1^st, 2^nd, 3^rd choice)

Saturday, June 2, 2012 Session:

8:30 AM - 9:30 AM: *

e.g. SA1A, SA1B, SA1C (1^st, 2^nd, 3^rd choice)

9:45 AM - 11:00 AM: *

e.g. SA2A, SA2B, SA2C (1^st, 2^nd, 3^rd choice)

11:15 PM - 12:30 PM: *

e.g. SA3A, SA3B, SA3C (1^st, 2^nd, 3^rd choice)

Lunch and Keynote Address (12:30 PM - 2:00 PM):

Yes No

Conference registration includes lunch on Sat. June 2, 2012

2:00 PM - 3:00 PM: *

e.g. SA4A, SA4B, SA4C (1^st, 2^nd, 3^rd choice)

3:15 PM - 4:30 PM: *

e.g. SA5A, SA5B, SA5C (1^st, 2^nd, 3^rd choice)

Please refer to the Session Schedule page.

Total:

Subtotal:

Tax (HST):

Total (CAD):

Questions:

I heard about the Conference from:

Conference Brochure

Fitness Magazine

A Friend

CPTN Web Site

Fitness Web Site

Health Club

Other(s):

e.g. Fitness instructors, newsletters, fitness forums

Agreement:

PLEASE CONSULT YOUR PHYSICIAN PRIOR TO STARTING AN EXERCISE OR FITNESS PROGRAM, AND PRIOR TO PARTICIPATING IN THIS EVENT. THIS IS A RELEASE OF CLAIMS AND BY REGISTERING I AGREE TO THE FOLLOWING: 1. I REPRESENT TO THE CERTIFIED PROFESSIONAL TRAINERS NETWORK, HEREINAFTER REFERRED TO AS "CPTN" THAT I AM IN EXCELLENT PHYSICAL HEALTH. I FURTHER REPRESENT THAT I DO NOT SUFFER FROM ANY PHYSICAL AILMENT OR ANY COGNITIVE IMPAIRMENT; AND THAT I AM NOT TAKING ANY MEDICATION OR DRUGS WHICH MIGHT CAUSE ME HARM OR LIMIT MY PARTICIPATION. 2. I UNDERSTAND AND AGREE TO ABIDE BY THE CONDITIONS OF THE CANCELLATION POLICY, SESSION REQUEST AND STAND-BY PROCEDURES AND THAT PRE-PAID REGISTRATION DOES NOT GUARANTEE SESSION REQUESTS. 3. CPTN MAY VIDEOTAPE, AUDIOTAPE OR PHOTOGRAPH ME AND RETAIN THE RIGHTS TO USE THESE ITEMS AND MAY EMPLOY ANY OR ALL OF THESE FOR ALL COMMERCIAL AND NON-COMMERCIAL PURPOSES WITHOUT PAYMENT OF ANY KIND TO ME AND WITHOUT FURTHER NOTICE TO ME OR PERMISSION FROM ME. 4. I CONSENT THAT THE INFORMATION COLLECTED HEREIN MAY BE USED TO SEND ME UPDATES ON CPTN OFFERINGS AS WELL AS MARKETING INITIATIVES FROM SELECT COMPANIES ASSOCIATED WITH CPTN. 5. I AM AWARE THAT THERE ARE RISKS ASSOCIATED WITH PARTICIPATING IN FITNESS ACTIVITIES AND EXERCISE. MY PARTICIPATION IS COMPLETELY VOLUNTARY AND I FREELY ACCEPT AND FULLY ASSUME ALL RESPONSIBILITY FOR ALL RISKS, AND ALL POSSIBILITIES OF PERSONAL INJURY DEATH, PROPERTY DAMAGE OR LOSS TO MYSELF OR ANY OTHER PERSON AS A RESULT OF MY PARTICIPATION IN FITNESS ACTIVITIES. I AGREE AS DO MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS: A) TO WAIVE ALL CLAIMS, KNOWN OR UNKNOWN, THAT I HAVE OR MAY HAVE IN THE FUTURE AGAINST CPTN INCLUDING THEIR OWNERS, OFFICERS, DIRECTORS, AGENTS, EMPLOYEES, VOLUNTEERS, BUSINESS OPERATORS, INDEPENDENT CONTRACTORS AND SITE PROPERTY OWNERS, LESSEES OR EXHIBITORS; B) THAT CPTN IS NOT LIABLE OR RESPONSIBLE FOR ANY DAMAGE TO, LOSS OR THEFT OF MY PROPERTY; C) TO RELEASE AND FOREVER DISCHARGE CPTN FROM ALL LIABILITY FOR ANY PERSONAL INJURY, DEATH, PROPERTY DAMAGE OR LOSS RESULTING FROM MY PARTICIPATION IN FITNESS ACTIVITIES DUE TO ANY CAUSE; INCLUDING, BUT NOT LIMITED TO NEGLIGENCE, (FAILURE TO USE SUCH CARE AS A REASONABLY PRUDENT AND CAREFUL PERSON WOULD USE UNDER SIMILAR CIRCUMSTANCES), BREACH OF ANY DUTY IMPOSED BY LAW, BREACH OF CONTRACT OR MISTAKE IN ERROR OF JUDGMENT OF CPTN; D) TO BE LIABLE FOR AND TO HOLD HARMLESS AND INDEMNIFY CPTN FROM ALL ACTIONS, PROCEEDINGS, CLAIMS, DAMAGES, COSTS DEMANDS, INCLUDING COURT COSTS ON A SOLICITOR AND OWN CLIENT BASIS, AND ALL LIABILITIES OF WHATSOEVER NATURE OR KIND ARISING OUT OF OR IN ANY WAY CONNECTED WITH MY PARTICIPATION IN FITNESS ACTIVITIES. 6. I AGREE THAT IN THE UNLIKELY EVENT OF CANCELLATION DUE TO EXTREME CONDITIONS BEYOND THE CONTROL OF CPTN INCLUDING, BUT NOT LIMITED TO ACTS OF GOD, ACTS OF TERRORISM, MEDICAL ADVISORY, OR OTHER CONDITIONS, MY REGISTRATION FEE SHALL BE NON-REFUNDABLE. 7. I CONSENT TO RECEIVE MEDICAL TREATMENT WHICH MAY BE DEEMED ADVISABLE IN THE EVENT OF INJURY, ACCIDENT OR ILLNESS DURING THE CONFERENCE. 8. I CONSENT THAT THE PRESENT WAIVER AND CONSENT HAS BEEN DRAFTED IN ENGLISH AT MY REQUEST. I HAVE READ, I UNDERSTAND AND I HEREBY GIVE MY FREE AND ENLIGHTENED CONSENT AND AGREE TO ALL OF THE FOREGOING. JE CONSENTE À CE UE LA PRÉSENTE RENONCIATION À RÉCLAMER ET CONSENTEMENT SOIT REDIGÉE EN ANGLAIS À MA DEMANDE.

I agree to the terms and conditions as indicated. *

Human Verification Test:

What is the most important nutrient? *

Hint: The answer is water.

The * indicates that the field is required.

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