New Trainer Set-up - Evolution To WellBeing

Contact Details

Please fill in your contact details.

Firstname:^*
Surname:^*
Phone - Mobile:^*
Email:^*
Date of Birth:
Gender:
Street Home:
City/Suburb:
State:
Postcode:

Choose your area and session time:^*

Tick the type of role you are interested in?
	Lead Trainer / Group Owner
	Group Fitness Trainer
	Yoga Teacher
	Pilates Teacher
	Other

Do you have your own mode of transport?
	Yes
	No

Please enter your ABN number:^*

Is your business GST registered?
	Yes
	No

Are you an Australian Citizen / permanent resident or New Zealand citizen? If no, please give details of your VISA status.

Please enter the expiry date of your fitness registration:

Please enter the expiry date of your first aid certificate:

Please enter the expiry date of your CPR Certificate:

Please enter the expiry date of your public liability insurance:

Do you have any holidays planned over the next 3 to 6 months? If so what are the dates, even if just approximate.

Please provide someone who we should contact for you in case of emergency (name / number / email / relationship):*

I understand that I am responsible for my own participation in any activities undergone in Evolution to Wellbeing classes or associated classes and that ETW cannot be held liable for any injuries / illness / loss of earnings caused by working with and training at ETW sessions and events*