Course Application - Ultimate Reformer Series

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Course

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CSEPOL00452 - Polestar Ultimate Reformer Series 1-3 [Reformer 1-3] (Intensive Reformer Course NSW24B)
17 Nov 2024 - 17 Nov 2025 NSW - Polestar Pilates Studio (2)
19 places available
CSEPOL00456 - Polestar Ultimate Reformer Series 1-3 [Reformer 1-3] (Intensive Reformer Course WA24B)
15 Sep 2024 - 15 Sep 2025 WA - Performance Pilates & Physio
22 places available

Contact Information

First Name
Entity Data - Profile - First Name
Last Name
Entity Data - Profile - Surname
Birth Date
Entity Data - Profile - Birth Date
Gender
Entity Data - Profile - Gender
E-mail Address
Entity Data - Contact - Home - E-mail Address
Mobile Number
Entity Data - Contact - Home - Mobile Number
Phone Number
Entity Data - Contact - Home - Phone Number
Address - Lookup
Entity Data - Address - Home - Lookup
Address - Home - Unit/Flat Number
Entity Data - Address - Home - Unit/Flat Number
Address - Home - Street/Lot number
Entity Data - Address - Home - Street/Lot number
Address - Home - Street Name
Entity Data - Address - Home - Street Name
Address - Home - Suburb
Entity Data - Address - Home - Suburb
Address - Home - Post Code
Entity Data - Address - Home - Post Code
Address - Home - State
Entity Data - Address - Home - State
Address - Home - Country
Entity Data - Address - Home - Country
Country of Birth
Entity Data - Profile - Country of Birth
Are you of Aboriginal or Torres Strait Islander orgin?
Entity Data - AVETMISS - Indigenous Status
What is the main language other than English spoken at home?
Entity Data - AVETMISS - Main Language
Do you consider yourself to have a disability, impairment or long-term condition?
Entity Data - AVETMISS - Disability Flag
Select the Disability Type
Entity Data - AVETMISS - Disability Type
What best describes your current employment?
Entity Data - AVETMISS - Labour Force Status
What is your Completed School Level?
Entity Data - AVETMISS - Highest School Level
What is your completed Tertiary Level?
Entity Data - AVETMISS - Prior Education Flag
Select your completed Tertiary Type
Entity Data - AVETMISS - Prior Education Type
What is your major reason for study?
Entity Data - AVETMISS - Study Reason
Please include your Unique Student Identifier (USI):
Entity Data - AVETMISS - Unique Student Identifier (USI)
Outline your experience in dance, fitness or any other relevant discipline:
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Outline, if applicable any other completed Pilates Certification:
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Outline, if applicable your teaching experience:
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Do you have any health conditions or injuries that may prevent you from training to your full potential?
Basic - Textarea
Please select your credentital and CURRENT profession from the following list:
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Emergency Contact Information

Emergency Contact Details:
Entity Data - Contacts - Type
Contact - Relationship
Entity Data - Contacts - Relationship
Contact - First Name
Entity Data - Contacts - First Name
Contact - Surname
Entity Data - Contacts - Surname
Contact - Mobile Number
Entity Data - Phone - Home - Phone Number

Course Pre-requisities

COURSE PRE-REQUISITES:

Please upload your course pre-requisites


1. Print the attached student handbook and sign the Section3. Student Agreement on page 36. Scan or take a photo with your signature and upload here.

Basic - File
2. Upload copies of proof of your 25hrs of Pilates (can be in an email from your Pilates teacher or a log of classes from their booking system).
Basic - File
3. Anatomy completion certificate & Higher School Certificate or equivalent/higher (Diploma, Bachelor, Masters).
Basic - File
4. Upload a copy of your completed Matwork training course.
Basic - File
Terms and Conditions:
By signing this registration form, I agree to the TERMS AND CONDITIONS as outlined in the Student Handbook, and certify the above is correct to the best of my ability.

Basic - Digital Signature

Payment Details

Polestar Pilates Ultimate Reformer Series
Total Course Fess:  $2,990
 
Initial deposit of $710 + 2.6% processing fee, followed by 4 payments of $570.
These payments will be set up by Ezi Debit once registration is complete. Instructions to follow via e-mail after registration is confirmed.

You will now be taken to the PAYPAL screen to pay the Deposit.