Pilates Physio Style CONTINUING REGISTRATION

TERM 4 2024

Email Address *

Email address *Please type your email again, this is a typo checker

First Name *

Surname *

Current (TERM 3 2024) class location *

BrookvaleHornsbySydney UniZoom

You may select more than one option i.e. if you do both F2F and Zoom

Please enter your OLD/CURRENT class here. If you are looking to join a new class, the section to select that is slightly further down in the form.

Old or Current Session Day and Timee.g. MONDAY - 8:30 AM

Class 2e.g. WEDNESDAY - 10:30 AM

Class 3e.g. FRIDAY - 8:30 AM

Old or Current Class Brookvale 1 *

Brookvale 2

Brookvale 3

Old or Current Class Hornsby 1 *

Hornsby 2

Hornsby 3

Old or Current Class Syd Uni 1 *

Syd Uni 2

Syd Uni 3

Old or Current Class Zoom 1 *

Zoom 2

Zoom 3

TERM 4 CLASSES

If selecting NO CHANGES please confirm your class is still running this term by clicking here

Timetable *

NO CHANGES TO DETAILS OR SESSION TIMESI have a new session preference/s or would like to add a session/s to my usual classMy details have changed

New class location/s *

BrookvaleHornsbySydney UniZoom

You may select more than one option i.e. if you do both F2F and Zoom

Please select the classes you wish to attend below

PC Physio class (equipment)
S&C (strength and conditioning)
B&S (barre and strength)
Prenatal / Postnatal
MAX (advanced: high rep, high tempo)
SENIORS (Over 60's)

New Brookvale Class 1

Brookvale 2

Brookvale 3

New Hornsby Class 1

Hornsby 2

Hornsby 3

New Syd Uni Class 1

Syd Uni 2

Syd Uni 3

New Zoom Class 1

Zoom 2

Zoom 3

Class 1(day / time / type)

Class 2(day / time / type)

Class 3(day / time / type)

Class Type - Please check if any of these apply to you

Multiple / comboFamily (if attending one class each per week AND living in the same household)10% discount Sydney Uni Access Member33% discount Sydney Uni Sport & Fitness Elite Athlete Program25% discount employee Sydney Uni Sport and Fitness LimitedWorker's comp / CTPNational Disability Insurance Scheme (NDIS)MSESSChronic disease management plan

Family Member Full Name/s *Please write the FIRST NAME and SURNAME of the other family member/s

Current Health Fund *Please write NONE if not applicable

DETAILS

Please complete all * fields even if only some details have changed

First Name *

Surname *

Address *

Suburb *

State *

Postcode *

Main Phone *Usually your mobile

Alternative Phone (optional)

Health Fund Name *

Comments (optional)

I will be paying by *

direct deposit (bank EFT) - please enter name as descriptioncredit card over the phone

Class make-up policy

We understand that you will not always be able to make your scheduled class. Please contact us via email or text if you would like to change your class time or schedule a makeup. Under NO circumstances are make ups to be carried over to the next term.

I have read and accept the terms of the class make-up policy. *