Adult Course Registration Form

The College of Health & Fitness VET Adult Enrolment Form 2023

Ph: 07 3385 0195 F: 07 3886 4441 E: admin@thecollegeofhealthandfitness.qld.edu.au Add: PO Box 86, North Lakes, Qld, 4509 National Provider Number 30798
Course(s)*

Certificate II Sport and RecreationCertificate III in FitnessCertificate IV in FitnessCertificate II in Health Support ServicesCertificate III in Health Administration
The study mode for this course is flexible delivery
Personal Details*

First NameMiddle NameLast Name
Title

MrMrsMissMsDrOther
Date of birth

DayMonthYear
Gender*
Country of birth*
eg: Australia
Language spoken at home*
eg: English
Current Age
Address*

Street Address

Street Address Line 2

CityState

Post codeCountry
Mobile Number*
eg: 0400 000 000
Home Phone Number

Area CodePhone Number
Email *
Student USI *
https://www.usi.gov.au/faqs/i-have-forgotten-my-usi
Highest Level of education completed*
eg:Yr 12
Year completed*
eg:1999
Employment Status

Full timePart timeContractNot currently employed
Any known medical condition/s
Please explain
Indigenous/Torres Strait IslanderNon-English Speaking backgroundDisability or learning difficulty
Emergency Contact*

First NameLast Name
Mobile Number
eg.0400 000 000
Relationship*
Parent/Guardian email*
example@example.com
Name

First NameLast Name
Disclaimer if required, I give permission for the use of a photographic image of the student in a group or individually (for use on The College of Health and Fitness and/or Centenary Fitness College promotional material, website, newsletter and school newsletter)*

YesNo
Terms and Conditions

a. The information provided on this form is correct and complete. The Policies and Procedures have been made available to me and I have read, understood and accepted these conditions of my enrolment.
b. I/We consent to The College of Health and Fitness providing relevant information to the Department of Education, Training and Employment and Australian Skills Quality Authority in order to facilitate the recording of results and the issuing of relevant certification.
c. I/We consent to complete any relevant separate paperwork required by relevant external organisations, realising that they too may require separate consent forms to be signed.

d.I/We consent to The College of Health and Fitness showing copies of any VET completed assessment tasks to DESBT and ASQA should DESBT or ASQA undertake an external audit of the VET course. We understand that student work is required in order to satisfy DESBT and ASQA that all assessment is of the correct, industry standard.
e. The College of Health and Fitness is the registered training organisation that will assess and issue qualifications upon successful completion.
f. The College of Health and Fitness are entitled to charge a fee directly to the student should the following occur:
• if a student needs a replacement textbook due to losing/misplacing their copy
• if a student needs a replacement certificate and/or statement of attainment.
g. I acknowledge I have been informed of TCOHAF refund policy which states, in part, that no refunds will be given on courses that have commenced or if workbooks have been issued.
Student Signature*

Clear
Date*

DayMonthYear
Date
Guardian/Parent Signature

Clear
Date

DayMonthYear
The Guardian/Parent Signature is only required if you are under the age of 18 years old at the time of enrolment
Please attach photo ID with this enrolment form (e.g. drivers licence, passport, student card)*

Browse Files

Cancelof
The College of Health and Fitness office use only
Payment received on Enrolment $
Receipt #
Enrolment Received (date)
Resources Provided (date)
Icare updated (date)

The College of Health and Fitness has been providing quality education since 2002

National Provider Number 30798

For further information contact the College of Health and Fitness via
Ph: 07 3385 0195 F: 07 3886 4441

E: admin@thecollegeofhealthandfitness.qld.edu.au Add: The Evergreen Centre, Unit 11, 12 Discovery Drive, North Lakes, Qld, 4509
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The College of Health & Fitness VET Adult Enrolment Form 2023