Enrolment Form

Enrolment Information Form

Please provide your details below to complete your enrolment.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Program or Course Applying For
Discount Code
T-Shirt Size
Occupation
Previous Qualifications
Where did you hear about Pilates Education Australia
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
A 30% deposit is payable at time of enrollment. Sculpt BSB: 114-879 ACC #: 456352776 Deposits are nonrefundable and nontransferable. Course commencement is considered to be from your first log on to the online learning platform. All deposits are non refundable *
If enrolling only in a single module, the balance payment must be made in full 2 weeks (14 days) prior to the start date. *
A $50 fee per module will be charged if you wish to postpone your course or single module up to 7 days before your first face-to-face date *
A $200 fee per module will be charged if you wish to postpone your course or single module less than 7 days before your face-to-face date *
No refund is given for any cancellation received after you have logged into the student portal for the first time. *
Your final practical and written exam is included in the full course fee. If you do not pass, the fee to resit is $150 for just Mat or Reformer and $250 for Mat and Reformer combined. If you prefer to submit a prerecorded practical or complete the exam via Zoom, instead of attending face-to-face, the fee is $150 for Mat or Reformer and $250 for Mat & Reformer. *
Pilates Education Australia Pty Ltd & Sculpt reserves the right to postpone modules if minimum enrollment numbers are not met. In this case your module will be transferred without charge. *
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Enrolment Information Form

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