Last Name
Address Line 1
State/Province
Email Address
Name Tag Preference
BS/BA
PA
RD
RN
OT
Phys Ed.
Other
Middle Initial
First Name
Address Line 2
City
Zip/Postal Code
Phone (000-000-0000)
Experience, Degree, or License
Country
MA
NP
JP+
Nutrition
PT
Payment Information
* In becoming a Certified L.E.A.N. Coach, some teaching experience is preferred; please check all that apply. If none apply, please contact The LEAN Group office to discuss enrollment in this program.
Health Ed.
Card
CC#
Exp. (MM/YY)
/
CPC
Name on Card:
Same as Above
Last Name
First Name
Middle Initial
Schedule: Friday, January 9, 2008
Saturday, January 10, 2008
Sunday, January 11, 2008		 6:00 PM - 9:00 PM
8:30 AM - 5:30 PM
8:30 AM - 4:00 PM
Location Residence Inn by Marriott
John Wayne Airport/Orange County
2855 Main Street
Irvine, California		 See Housing Form

* Free Shuttle From Airport
** Complimentary Breakfast
Fees: Certified L.E.A.N. Coach Training $595.00
$495.00 Early Bird, Register by 12/1
Dr. Sears L.E.A.N. Coach Training & Certification
January 9(eve), 10, & 11 - Irvine, CA
ENROLLMENT & REGISTRATION
Housing Information
Coming Soon
Copyright© 2008 - The LEAN Group, LLC - info@drsearslean.com
* Class size is extremely limited (20 persons) to enable us to provide
  personalized and in-depth training for participants