TrainupNOW Enrolment Form

For CPR/First Aid courses, enrol at: www.trainupnow.com.au/courses

Training Start Date

DayMonthYear

Full Courses

Update/Requal Courses

Training End Date

DayMonthYear

Candidate Name

First NameLast Name

Participant Name*

First NameLast Name

Street Address

Birth Date

MonthDayYear

Phone Number

Area CodePhone Number

Participant Email

Company

Work Number

Area CodePhone Number

Mobile Number

Area CodePhone Number

Emergency contact details

First NameMiddle NameLast Name

Mobile Number

Area CodePhone Number

E-mail

Course Payment
Please note all fees need to be paid prior to the commencement of the course, unless other terms have been agreed upon.
We do not process any paperwork until full payment is received.

Please note that refunds are not provided if you do not turn up for the course.
By participating and paying the course fee of your chosen course does not guarantee a successful outcome.

Payment methods: EFT (ANZ, BSB: 013839 Account: 228858548 Name: TrainupNOW, Cash (no cheques).
ABN: 39584497755 (BennoFactory Family Trust trading as TrainupNOW Pty Ltd)

When paying by EFT please put your name in the description.

Declarations

Fitness to Participate: I declare that I am medically and physically fit and able to participate in any ocean/surf life saving activities (SLS) in the classroom or in an aquatic environment. I am not and must not be a danger to myself or to the health and safety of others. I will immediately notify TrainupNOW in writing of any change to my medical condition, fitness and ability to participate. I accept the prerequisite conditions of the course I am undertaking.

Warning: Aquatic rescue/surf life saving activities can be inherently dangerous. I acknowledge that I am exposed to certain risks during aquatic activities including but not limited to physical exertion, contact with surf life saving/surfing equipment, body contact and surf, sea and weather conditions. I acknowledge that accidents can and often do happen which may result in me being injured or even killed, or my property being damaged. I have voluntarily read and understood this warning and accept and assume the inherent risks in participating in these Aquatic Activities.

Release & Indemnity: In consideration of TrainupNOW accepting my application for enrolment I: (a) release and will release TrainupNOW from all Claims that I may have or may have had but for this release arising from or in connection with my enrolment and/or participation in any Aquatic Activities; and

(b) indemnify and will keep indemnified TrainupNOW to the extent permitted by law in respect of any Claim by any person arising as a result of or in connection with my enrolment and/or participation in any Aquatic Activities.

Candidate/Student/Parent/Gurdian signature(s)
I hereby apply to enrol in the above course. I have read, understood, acknowledge and agree to the declarations. I warrant that all information provided is true and correct.

I permit TrainupNOW to enter my details online on my behalf if required.

Parent/legal guardian consent (in respect to a student under the age of 18 years)
I have read, understood, acknowledge and agree to the declarations. I warrant that all information provided is true and correct.

Participant Signature (please sign with mouse, pen etc)

Parent/Guardian Signature (please sign with mouse, pen etc)

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