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BASIC DETAILS
*
Date of Enrolment
*
Which Course?
Please Select
Full APEI Comprehensive Course AUSTRALIA
Full APEI Comprehensive Course LONDON UK
Full APEI Comprehensive Course NZ
Full APEI Comprehensive Course SOUTH KOREA
Mat Course - SYD - MELB - BRIS
*
Mat Course Location
Please Select
Sydney
Melbourne
Brisbane
*
First Name
*
Last Name
*
Home Address
*
Suburb
*
Area Code
*
State/Province
*
Country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belau
Belize
Benin
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Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Haiti
Heard Island and McDonald Islands
Honduras
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India
Indonesia
Iran
Iraq
Republic of Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Martin (Dutch part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
São Tomé and Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia/Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom (UK)
United States (US)
United States (US) Minor Outlying Islands
United States (US) Virgin Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Samoa
Yemen
Zambia
Zimbabwe
*
Email
*
Username
*
Password
*
Confirm Password
Postal address if different from above
Postal Address
Suburb
Area Code
State/Province
Country
Personal Details
Company
Occupation
*
Employment status?
Unemployed, seeking part time
Unemployed, seeking full time
Part time
Full time
Self-employed
Date of Birth
Gender
Male
Female
Mobile Number
Home Phone
*
Do you speak a language other than English at home? If yes, please specify
No
Yes
*
Other Language
*
Are you proficient in English?
Very Well
Well
Not Well
Not At All
*
Do you have any disabilities that we should be aware of? If so, please specify.
*
Highest Education Achieved
Year 9 or equivalent
Year 11 or equivalent
Year 12 or equivalent
Still at school
*
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.
*
Reason for study?
To get job
To get a job or promotion
To change careers
To get into another course
It was required for
My job
To increase my skills
For personal development
To develop my existing business
To start my own business
Other
*
Relevant experience and background
*
Course Date
Application Declaration for APEI Full Comprehensive Course
*
I would like to apply for enrolment with APEI teacher training course. I agree to abide by the rules, protocol and student code of conduct set by Authentic Pilates Education International and I agree to maintain appropriate 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 understand that the deposit is due to be paid with this application with further instalments to be paid prior to each seminar and that all payments made are non refundable.
*
I further agree to give APEI 14 days notice if I do not intend to attend the course I have enrolled into and understand that the deposit paid will not be refunded.
*
I have read and understood the APEI 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.
*
By submitting this enrolment for I agree to and acknowledge that I have read and understood the terms and conditions of the APEI course/s as stated on the website link Terms and Conditions
Application Declaration for APEI Mat Course
*
I would like to enrol in the APEI Mat Course / Teacher Training Programme. I agree to abide by the rules, protocol and student code of conduct set by Authentic Pilates Education International and I agree to maintain Appropriate 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 understand that the 25% deposit is due to be paid to my APEI Mat Course Host Studio with this application with further instalments to be paid as per the terms of the course and that all payments made are non refundable.
*
I further agree to give APEI 14 days’ notice if I do not intend to attend the course I have enrolled into and understand that the deposit paid will not be refunded.
*
I have read and understood the APEI 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.
*
By submitting this enrolment for I agree to and acknowledge that I have read and understood the terms and conditions of the APEI course/s as stated on the website link Terms and Conditions
Application Declaration for APEI Full Comprehensive Course
*
I would like to apply for enrolment with Authentic Pilates teacher training Korea course. I agree to abide by the rules, protocol and student code of conduct set by Authentic Pilates Education 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 understand that the deposit is due to be paid with this application with further instalments to be paid prior to each seminar and that all payments made are non refundable.
*
I further agree to give Authentic Pilates Education 14 days notice if I do not intend to attend the course I have enrolled into and understand that the deposit paid will not be refunded.
*
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.
Application Declaration for APEI Full Comprehensive Course
*
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.
Application Declaration for APEI Full Comprehensive Course
*
I would like to apply for enrolment with Authentic Pilates Education UK , and agree to abide by the rules, protocol and student code of conduct set by the APE 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 understand that the deposit of £1,000 must be paid prior to commencement of my course.
*
I further agree to give APE seven (14) days notice if I do not intend to attend the course I have been enrolled into and agree that should I fail to give such notice then I am liable for full course fee to be invoiced.
*
I have read and understood the APEI Code of Practice.
*
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
*
Bank Details : APEI Full Comprehensive Course AUSTRALIA
Yes
No
I have just paid my deposit through online banking into the bank account shown below.
SYDNEY:
*
Account name: Authentic Pilates
Bank: ANZ
BSB: 012227
Acc: 46713 7959
*
Bank Details: Mat Course - SYD - MELB - BRIS
Yes
No
I confirm that I have paid my deposit to my APEI Mat Course Host Studio.*
Please use surname & APEI as reference
Deposit to be paid upon enrolment / registration is $649
Please make all your APEI Mat Course payments to your host Pilates Studio / APEI Teacher Trainer who will be delivering your Mat Course
SYDNEY:
Account name: Authentic Pilates
Bank: ANZ
BSB: 012227
Acc: 46713 7959
MELBOURNE:
Marie-Eve Fairbairn
NAB
BSB 083 453
ACT 970 882 948
Paypal :
paypal.me/MEPilates76
BRISBANE:
Nicole Smith
BSB: 124084
A/c: 23025666
*
Bank Details: APEI Full Comprehensive Course SOUTH KOREA
Yes
No
I have just paid my deposit through online banking into the bank account shown below.*
*
BANK NAME: KOOKMIN BANK
ACCOUNT NO.: 768301 00 064378
ACCOUNT NAME: AUTHENTIC PILATES KOREA
*
Bank Details: APEI Full Comprehensive Course NZ
Yes
No
I have just paid my deposit through online banking into the bank account shown below.
*
Account Details for NZ : 03-1502-0009245-000
*
Bank Details: APEI Full Comprehensive Course LONDON UK
Yes
No
I have just paid my deposit through online banking into the bank account shown below.
*
Exhale Pilates London (Natwest Bank) Sort Code: 60-04-24
Account number: 10289216
Ref: (Surname)
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