At this time please contact office for upcoming dates...

     Only those who wish to provide leadership for youth should apply. 

                     Name:_______________________________Phone: (         )                                                     M            F

 Mailing address:                                                                                                                                           

 City____________________________________ state ___________ zip code _____________________        

                               email address______________________________________

Last degree earned________________

Date                              State ________________School                                                                                

Are you now working with youth? ______School _________________Camp_______________

Other                                                                                                                                                

Have you had musical or dance experience?____________
      Describe                                                                                                                                                              

Have you taught exercise?                                                                                                                            
                                            (Situation and duration)

                                                      Lodging and meals are not included in training fee.

Date of arrival _________________Approximate time ________________How traveling?___________________
Do you need shuttle service to and from the Lexington airport? ($35 round trip)___________________________
Arrival time                                       Airline and Flight #                                      
Departure and Flight____________________

If flying, plan to arrive the night before training begins, and depart after 3 p.m. on the last day of training.

* Double, group rates available through BODY RECALL, INC. at COMFORT INN AND SUITES (859-985-5500) in Berea, KY.
Let us know if we can assist you with your reservations. Motel offers a fine continental breakfast to start the day, refrigerators in rooms, and easy shopping or meals out.

 Phone- (859) 986-2181      Fax-(859) 986-7580       e-mail bodyrecallinc@earthlink.net      www.bodyrecallinc.org