Physio Equipment Class Enrolment Form Term 3 2020 (10 Weeks)

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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 20-Jul-2020 to 25-Sep-2020

Training Days & Times

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

Time Mon Tue Thu Fri
9:00 - 10:00 am
Physio Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
9:30 - 10:30 am
Physio Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
Physio Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
10:15 - 11:15 am
Physio Equipment Class (Carolyn) Dependent on numbers
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
1:30 - 2:30 pm
Physio Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Physio Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
4:15 - 5:15 pm
Physio Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Physio Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
4:30 - 5:30 pm
Physio Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
5:30 - 6:30 pm
Physio Equipment Class (Therese)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL
Physio Equipment Class (Carolyn)
Physiotherapy Posture & Pilates 48 Eaton Drive Eaton
FULL

DISCLAIMER:
I understand and have read the class policy and acknowledge my responsibility if I cannot make a class that I must alert reception in the agreed time if I am to be offered a make up class option.


Agreement

12-Aug-2020

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 10 week term fee 1 class per week paid by Week 1
$500.00 10 week term fee 2 classes per week paid by Week 1
$250.00 10 week term fee for one when 2 or more Family members enrol in class paid by Week 1
$32.00 Casual rate per session (Confirm dates with reception) (per session)
$0.00 Other option. Discuss with reception staff for pricing options
$0.00
Bank Transfer
Bank details will be provided on the next screen
Cash
Term Fee enrollees payment must be made by Week 1