Registration Form – Teacher Training

Name

Surname

Date of Birth
ID Number
Age
Contact Number
Your Email
Residential Address
Postal Address
Occupation
Disabilities
Qualification
Where did you hear about our course?
What fitness regimes do you practice?
Do you have any anatomical background?
Why do you want to do the chosen course?
SELECT YOUR COURSE



Select Payment Options:



Select Debit Order Repayments:



Download both the Debit Order form and Terms & Conditions for completion and signature:



Upload completed and signed debit order form*



Upload completed and signed Terms & Conditions*



I have read, understand and agree to the Terms and Conditions
Agree



Pilates Dynamics Banking Details
Absa bank – Cresta | Account name – Pilates Dynamics | Branch no – 632 005 | Cheque account no – 40-7342-5372 | Your reference – Your name and surname