Inspirational trainer award

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Complete this form to nominate someone for the inspirational Instructor/Trainer Award
Your Name*
First Last
Your Email*
Your Contact Number
Name of nominated Instructor/Trainer*
First Last
Their gender*
- Male
- Female
Their place of work*
Please provide the name of their business
Their suburb*
Their contact number*
In case we need to contact them to confirm details
Their State or Territory*
Are they registered with Physical Activity Australia?*
The MUST be registered to be eligible.
Name of your Instructor/Trainer's local newspaper
We want to let their community know about their achievement.
Please describe how they are inspirational and the reasons for your nomination*
What type of training do you do with them?*
What is their most impressive quality?*
How long have you been training with them?*
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