Date of enrolment

    Name (this will appear on your qualifications)

    First name

    Surname

    Home Address

    Street

    Suburb

    State/Province

    Area Code

    Country

    Postal address if different from above

    Postal address

    Suburb

    State/Province

    Area Code

    Country

    Personal details

    Company

    Occupation

    Date of birth

    Gender

    Home phone

    Work phone

    Mobile

    Fax

    Email

    Country of birth

    Do you speak a language other than English at home? If yes, please specify

    NoYesIf Yes

    Are you proficient in English?

    Very WellWellNot WellNot at all

    Do you have any disabilities that we should be aware of? If so, please specify.

    Highest school level completed

    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.

    Employment status?

    Other:

    Reason for study?

    To get jobIt was required forFor personal developmentTo get a job or promotionMy jobTo develop my existing businessTo change careersTo increase my skillsTo start my own businessTo get into another course

    Other:

    Relevant experience and background

    Course details

    Course name

    Course location

    Course Date

    Application Declaration

    This section must be completed

    I would like to apply for enrolment with Authentic Pilates Education UK to be held at the Exhale Pilates London, 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 APE 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 (signature):

    Bank Details

    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)

    Please download your enrolment agreement, sign and hand it to your Teacher Trainer.

    Enrolment Agreement