RykaFit

Instructor Name

Street Address

City

State

Zip

Home Phone

Email Address

Please fill in both your mail and email addresses, which are required to receive your awesome rykä FIT Club exclusives! By submitting this form, you agree to receive Club communication from rykä. We respect your privacy and will not release your information to any third parties. You can update your contact preferences at any time by simply calling (888) 834-7952.

Primary Club Name

Primary Club Address

City

State

Zip

Club Phone

Director's Name

Profession

Certificate Number

Certificate Organization

Years as a Professional

Are you currently involved with an instructor program? If yes, what program?

What footwear and apparel brands are you currently using for instructing/training?

Where do you currently purchase your fitness shoes?

What category of shoes are you most likely to purchase in the next 6 months?

By submitting this online application, I certify that the above information is truthful and accurate to the best of my knowledge. I also understand that a copy of certification, as well as a pay stub, or letter from a supervisor showing proof of employment may be necessary in order to complete this application.