National Diabetes Prevention Lifestyle Coach Training Registration - Magnolia Medical Foundation
Thank you for your interest in the National Diabetes Prevention Lifestyle Coach Training Program. Please complete the registration form below.

2022 Session Dates & Times:
Please choose one of the following class offerings:

___ Session 1: (February) 9th, 16th, 23rd | (March) 2nd, 9th
___ Session 2: (February) 10th, 17th, 24th | (March) 4th, 11th
___ Session 3: (April) 6th, 13th, 20th, 27th | (May) 4th
___ Session 4: (June) 9th, 16th, 23rd, 30th | (July) 7th

Time: 12 - 2:00 PM CST ( 1:00PM - 3:00PM EST)
*Due to COVID-19, all classes are only virtual.*

Fees:

Lifestyle Coach Training
In-person     $750.00
Virtual          $625.00

Master Training (Not offered at this time)
In-person     $1200.00
Virtual          $900.00

Payments can be made via Check or Paypal:

Make checks payable to: Magnolia Medical Foundation
Mail: PO Box 1100 PMB 10414 Raymond, MS 39154-1100

via Paypal
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Name *
Email *
Phone number *
Address *
Organization *
Specialty
Degree
Is your organization a National Diabetes Prevention Program (NDPP) recognized entity on the CDC website? *
What is your organization status? *
Which NDPP training are you enrolling for? ( Due to COVID-19 all classes are virtual)
In-person
Master Training
Which session are you hoping to attend? *
How will you be submitting payment? *
Submit
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