Barre Teacher Training Enrolment Form

First Name

Last Name

Email Address

Mobile Number

Street Address

Suburb

Date of Birth

Please give details of your Barre experience and what you LOVE about Barre:

Please list any related degrees, diplomas, post-secondary or certificate courses and workshops. It’s OK if you don’t have any.

Please list any injuries and health conditions that you currently have, or have had, which may affect or hinder you in undertaking the course. (Note: it is important that you disclose fully including an injury or condition you think is minor. If an undisclosed condition or injury causes difficulties during the course it may be cause for dismissal from the course. Please note that health conditions include pregnancy and postpartum).

How do you plan to use your Barre certification if you are considered competent?

Name 3 qualities about yourself that you love! *

How did you hear about my Barre Teacher Training course? * How did you hear about my Barre Teacher Training course? * Jodi BarreYoga advertising or website Word of mouth Other

PAYMENT METHOD

Your space in the course is confirmed upon acceptance of the Enrolment Form by Jodi BarreYoga and your payment is received. Space is limited and applications will be processed on a first-come, first-served basis. * Your space in the course is confirmed upon acceptance of the Enrolment Form by Jodi BarreYoga and your payment is received. Space is limited and applications will be processed on a first-come, first-served basis. * I understand and agree

Cancellation Policy: Please note that once the payment and confirmation of your spot in the course have been made, there are NO refunds. If the applicant is not accepted into the course the first payment will be returned. In exceptional circumstances, a student may apply to reschedule a course to a later date and the payment will be transferred to the rescheduled course fee. A student must reschedule the course within 6 months of the date of enrolment. * Cancellation Policy: Please note that once the payment and confirmation of your spot in the course have been made, there are NO refunds. If the applicant is not accepted into the course the first payment will be returned. In exceptional circumstances, a student may apply to reschedule a course to a later date and the payment will be transferred to the rescheduled course fee. A student must reschedule the course within 6 months of the date of enrolment. * I understand and agree to the cancellation Policy

TERMS AND CONDITIONS: I accept the Terms and Conditions stated in this form as well as the following: I accept that I must attend 100% of the training days, in addition to passing each of their assessment pieces, to pass this course.● I have disclosed all details of injuries, health conditions and/or pain, previous and current to Jodi BarreYoga● I have been truthful and honest with all my answers.● I have read and understood all the Policies and Procedures for Jodi BarreYoga’s Barre Teacher training with JodiBarreYoga set out in the website for Jodi BarreYoga and agree that these are conditions of my contract with JodiBarreYoga, breach of which may result in dismissal from the course. Signed in Agreement below. TERMS AND CONDITIONS: I accept the Terms and Conditions stated in this form as well as the following: I accept that I must attend 100% of the training days, in addition to passing each of their assessment pieces, to pass this course.● I have disclosed all details of injuries, health conditions and/or pain, previous and current to Jodi BarreYoga● I have been truthful and honest with all my answers.● I have read and understood all the Policies and Procedures for Jodi BarreYoga’s Barre Teacher training with JodiBarreYoga set out in the website for Jodi BarreYoga and agree that these are conditions of my contract with JodiBarreYoga, breach of which may result in dismissal from the course. Signed in Agreement below. I understand and agree to the above Terms and Conditions for Jodi BarreYoga Barre Teacher Training course