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Course Name
Participant Name (please print)
Program Date Program Location (City/State)
Program Facility Name
Provider Name
Course Trainer
Provider Signature
SSFPNAT_1629 3.15
Certification Course # CECs
ACE
AEA
AFAA
ACSM
Provider Signature
Healthways, Inc.
This course has been approved by AFAA for continuing education
units, but was not developed by AFAA. Therefore it does not count
as an AFAA course, which is required for recertification.
4378-103-50790
Yoga - 2015
Certificate of
Completion Cara Godwin
MaryBeth Dziubinski
5/21/2015 Port Charlotte, FL
Charlotte County Family YMCA Franz Ross Park Branch
CEP70564 0.20
5199 1.25
11205 2.00
664481 2.50

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Silver sneakers yoga course completion

  • 1. Course Name Participant Name (please print) Program Date Program Location (City/State) Program Facility Name Provider Name Course Trainer Provider Signature SSFPNAT_1629 3.15 Certification Course # CECs ACE AEA AFAA ACSM Provider Signature Healthways, Inc. This course has been approved by AFAA for continuing education units, but was not developed by AFAA. Therefore it does not count as an AFAA course, which is required for recertification. 4378-103-50790 Yoga - 2015 Certificate of Completion Cara Godwin MaryBeth Dziubinski 5/21/2015 Port Charlotte, FL Charlotte County Family YMCA Franz Ross Park Branch CEP70564 0.20 5199 1.25 11205 2.00 664481 2.50