Enrolment form

Date of enrolment

 

 

Name (this will appear on your qualifications)

First name

Surname

Home Address

Street

Suburb

State/Province

Area Code

Country

Postal address if different from above

Postal address

Suburb

State/Province

Area Code

Country

Personal details

Company

Occupation

Date of birth

Gender

Home phone

Work phone

Mobile

Fax

Email

Country of birth

Do you speak a language other than English at home? If yes please specify

No             Yes

Are you proficient in English?

Do you have any disabilities that we should be aware of? If so, please specify.

Highest school level completed

What year did you finish school?

How many private Pilates sessions have you done in the last 12 months and where. Please specify the method of Pilates you have been working on. If you are bridging, please state details below of your previous Pilates certification.

Employment status?

Other :

Reason for study?

To get  job                    To get a job or promotion                     To develop my existing business                      To start my own business 

It was required for                     My job                     To change careers                    To increase my skills                     To get into another course  

For personal development

Other :

Relevant experience and background

Course details

Course name

Course location

Course Date

Application Declaration

This section must be completed

I would like to apply for enrolment with Authentic Pilates Education New Zealand (APENZ) - teacher training course to be held at the Authentic Pilates Studio, and agree to abide by the rules, protocol and student code of conduct set by the APENZ and I agree to maintain proper behaviour during my enrolment. I understand my enrolment can be suspended or cancelled should I breach the rules and protocols, use inappropriate behaviour, or endanger others or myself.
I have read and understood the APENZ Code of Ethics.

I understand that a deposit of $1950 must be paid online into 03-1502-0009245-000 once my enrolment is accepted into the course. I understand that the remaining course fees are to be paid 2 weeks prior to the commencement of each seminar. Once paid, these fees are non refundable.

I further agree to give APENZ fourteen (14) days notice if I do not intend to attend the seminar I have been enrolled into and agree if I fail to give such notice then I am liable for the full course fee to be invoiced.

I have read and understood the Authentic Pilates Education Codes of Ethics.

I understand and agree that I will apply these ethics to my work practice in accordance with the Authentic Pilates Education Student / Apprentice Code of Practice.

Name (signature):

DEPOSIT FOR AUTHENTIC PILATES EDUCATION

Card Type

Name on Card

Card Number

CCV

Amount

$

Verify:

Refresh

Enrolment form

Date of enrolment

Name (this will appear on your qualifications)

First name

Surname

Home Address

Street

Suburb

State/Province

Area Code

Country

Postal address if different from above

Postal address

Suburb

State/Province

Area Code

Country

Personal details

Company

Occupation

Date of birth

Gender

Home phone

Work phone

Mobile

Fax

Email

Country of birth

Do you speak a language other than English at home? If yes please specify

No    Yes

Are you proficient in English?

Do you have any disabilities that we should be aware of? If so, please specify.

Highest school level completed

What year did you finish school?

How many private Pilates sessions have you done in the last 12 months and where. Please specify the method of Pilates you have been working on. If you are bridging, please state details below of your previous Pilates certification.

Employment status?

Other :

Reason for study?

To get  job 

To get a job or promotion 

To develop my existing business

To start my own business 

It was required for

My job

To change careers 

To increase my skills 

To get into another course  

For personal development

Other :

Relevant experience and background

Course details

Course name

Course location

Course Date

Application Declaration

* This section must be completed

I would like to apply for enrolment with Authentic Pilates Education New Zealand (APENZ) - teacher training course to be held at the Authentic Pilates Studio, and agree to abide by the rules, protocol and student code of conduct set by the APENZ and I agree to maintain proper behaviour during my enrolment. I understand my enrolment can be suspended or cancelled should I breach the rules and protocols, use inappropriate behaviour, or endanger others or myself.
I have read and understood the APENZ Code of Ethics.

I understand that a deposit of $1950 must be paid online into 03-1502-0009245-000 once my enrolment is accepted into the course. I understand that the remaining course fees are to be paid 2 weeks prior to the commencement of each seminar. Once paid, these fees are non refundable.

I further agree to give APENZ fourteen (14) days notice if I do not intend to attend the seminar I have been enrolled into and agree if I fail to give such notice then I am liable for the full course fee to be invoiced.

I have read and understood the Authentic Pilates Education Codes of Ethics.

I understand and agree that I will apply these ethics to my work practice in accordance with the Authentic Pilates Education Student / Apprentice Code of Practice.

Name (signature):

DEPOSIT FOR AUTHENTIC PILATES EDUCATION

Card Type

Name on Card

Card Number

CCV

Amount

$
Verify: Refresh
Classical Pilates Teacher Training 02 9818 761 hello@authenticpilatesteacher.training
73 Justin Street
Lilyfield NSW
2040 Australia
73 Justin Street
Lilyfield NSW
2040 Australia