Pilates Enrolment Form Term 3 2018

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Client 1

Load contact details using username and password
If you do not have a username and password, one will be created for you when you submit this form.

Client Details

Male Female

Enter the password that you would like to use for your new account.

Parent/Guardian Details

Address

Health and Fitness

Training Dates

From 16-Jul-2018 to 21-Sep-2018

Training Days & Times

Once a time slot is full you will be asked to make another choice.

Time Mon Tue Thu Fri
9:30 - 10:30 am
Clinical Pilates Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Clinical Pilates Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
Clinical Pilates Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Clinical Pilates Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
11:00 - 12:00 pm
Clinical Pilates Floor Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
1:30 - 2:30 pm
Clinical Pilates Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
Clinical Pilates Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
4:15 - 5:15 pm
Clinical Pilates Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Clinical Pilates Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
5:30 - 6:30 pm
Gymstick Muscle (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
Clinical Pilates Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Clinical Pilates Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton

DISCLAIMER:
I hereby agree to assume all risks and responsibilities surrounding my (or my child's) participation in the program under the instruction of Physiotherapy Posture & Pilates coaches. I understand that similar to all sporting activities, there is a risk of damage to personal property, injury or death which may result from causes beyond the control of, and without fault or negligence of Physiotherapy Posture & Pilates, its officers, agents, or employees, during the period of my (or my child's) participation. I understand completely the above agreement and agree to be bound thereby. By registering on our site you agree that we may send you email related to our facilities and programs. We will not provide your details to any other company.


Agreement

29-Mar-2024

Payment Method

There are no refunds for any enrolments into Physiotherapy Posture & Pilates related programs. When you sign/tick confirmation for this enrolment you are acknowledging that you know this as a fact and have accepted it as a condition.
$300.00 1 class per week Term Fee 10 Weeks
$250.00 10 week Term fee for one when 2 or more Family members enrol in class
$500.00 2 classes per week Class Discount Rate 10 Week
$0.00
Bank Transfer
Bank details will be provided on the next screen
Cash
Payment must be made by Week 1