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Rock Steady Boxing Application
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Rock Steady Boxing Application
All Application
Which Training would you like to complete?
(Required)
Head Coach & Affiliate Owner (Program Lead, Qualified to lead class)
Head Coach From Existing Location ($699, Qualified to lead class)
Coach From Existing Location ($399, Qualified to lead class)
Clinician ($899, Qualified to lead 1 on 1 in clinic only)
Assistant Coach ($90, Only qualified to assist in class)
I acknowledge this selected course will only allow me to assist, not lead, an RSB class or program.
(Required)
Yes
No
I acknowledge this selected course will only allow me to lead 1 on 1 sessions in my clinic.
(Required)
Yes
No
I acknowledge this selected course will only allow me to lead an RSB program and classes.
(Required)
Yes
No
I acknowledge this selected course will only allow me to lead RSB Classes.
(Required)
Yes
No
Requested Affiliate Location Name
(Required)
I understand that my application's approval is at the discretion of RSB Staff.
(Required)
Yes
Please selected in-person training date you'd like to attend. (Please only select one)
(Required)
March 11-12, 2023 (United Kingdom)
March 16, 2023 (Miami, FL)
April 27-28, 2023 (Indianapolis, IN)
August 25-26, 2023 (Huntsville, AL)
October 20-21, 2023 (Irvine, CA)
Please selected in-person Clinician training date you'd like to attend. (Please only select one)
(Required)
March 24, 2023 (Indianapolis, IN)
July 21, 2023 (Indianapolis, IN)
Will your program be for-profit or non-profit?
(Required)
For-Profit
Non-Profit
Class Location Address:
(Required)
Address Line 2:
City:
(Required)
State/Province/Region:
(Required)
Zip/Postal Code:
(Required)
Affiliate Mailing Address:
(Required)
Address Line 2:
City:
(Required)
State/Province/Region:
(Required)
Zip/Postal Code:
(Required)
Affiliate Billing Address:
(Required)
Address Line 2:
City:
(Required)
State/Province/Region:
(Required)
Zip/Postal Code:
(Required)
Affiliate Owner Name:
(Required)
Affiliate Contact Email:
(Required)
Affiliate Contact Phone:
(Required)
What RSB Affiliate will you be working with?
(Required)
Trainee Name
(Required)
Clinician Name
(Required)
Trainee Email
(Required)
Clinician Email
(Required)
T-Shirt Size
(Required)
Trainee Address
(Required)
Clinician Address
(Required)
City
(Required)
State/Province
(Required)
Zip/Postal Code
(Required)
Country
(Required)
By way of more formal education and athletic certifications, at least one of the below credentials is required for all Coaches and Head Coaches. These are not required of Assistant Coaches or Volunteers— • Hold and maintain a professional certification as a Personal Trainer through the American College of Sports Medicine (ACSM), the National Academy of Sports Medicine (NASM), OR another nationally accredited organization recognized by the RSB Board for this purpose; • Hold and maintain licensure in the profession of Physical Therapy, Occupational Therapy, Speech Therapy, or Athletic Training under the issuing authority of any State or Province; • Hold a formal undergraduate degree from an accredited academic institution in fitness or health-related field. (i.e., Kinesiology, Physiology, or Exercise Science)
(Required)
Please provide information for the following questions; 1) Profession, 2) Entry Level Professional Degree, 3) Other Post Graduate Degrees, 4) Other relevant certifications
(Required)
Trainee Name
(Required)
T-Shirt Size
(Required)
Trainee Address
(Required)
City
(Required)
State/Province
(Required)
Zip/Postal Code
(Required)
Country
(Required)
By way of more formal education and athletic certifications, at least one of the below credentials is required for all Coaches and Head Coaches. These are not required of Assistant Coaches or Volunteers— • Hold and maintain a professional certification as a Personal Trainer through the American College of Sports Medicine (ACSM), the National Academy of Sports Medicine (NASM), OR another nationally accredited organization recognized by the RSB Board for this purpose; • Hold and maintain licensure in the profession of Physical Therapy, Occupational Therapy, Speech Therapy, or Athletic Training under the issuing authority of any State or Province; • Hold a formal undergraduate degree from an accredited academic institution in fitness or health-related field. (i.e., Kinesiology, Physiology, or Exercise Science)
(Required)
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