Registration July 2019 Intake Professional Certificate Registration July 2019 Intake Professional Certificate Online Registration * Required Your Details Title DR Dr. MISS MR MRS MS First Name * Last Name * Phone Number Email Address * Address * City * State * Postcode * Country * -- Select Country -- AFGHANISTAN ALAND ISLANDS ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA CÔTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT BARTHÉLEMY SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE Are you a Qualified Health Professional or Non Health Professional? Qualified Health, Fitness or Wellness Professional Non Health Professional What is your occupation? * -- Please select -- Acupuncturist/Chinese Herbalist Allied Health Professional Chiroprator Corporate Wellness Officer Doctor Educator Exercise Physiologist Fitness Instructor Naturopath Nurse Osteopath Personal Trainer Student Human Resources Health Club/Studio Manager Psychologist Counsellor Other If other please specify * What industry do you currently work in? * -- Please select -- Sales - Business and Management Financial Services Computer and IT Architecture and engineering Social science Community and social services Legal Education and training Marketing Advertising Design Media - Journalism - Television Healthcare support Hospitality Personal care and service Office and administrative support Farming- fishing - and forestry occupations Construction - maintenance - and repair occupations Production occupations Transportation Military What prior qualifications (if any) do you have? How did you hear about this program? * -- Please select -- AAMT ANTA Article/Blog Reference ATMS Australian Institute of Fitness Cadence Health Conference Direct Website ESSA FaceBook FILEX Fitness Australia Google/Web Search Linkedin Other Physical Activity Australia Referral/Word of Mouth REPS NZ REPS UK RMIT If 'other', please specify Your Study Plans Please indicate what delivery format you would like to undertake for the Level 1 and level 2 coaching subjects Level 1 and 2 as a 2 day intensive workshop Level 1 Online and Level 2 as a full day workshop Level 1 as a full day workshop and Level 2 online webinar course Level 1 Online and Level 2 online webinar course Unsure As you looking to apply for subject exemption through prior learning? Yes No Please select which subjects you are looking to apply for Level 1 Coaching Level 2 Coaching Healthy Nutrition for Life Concepts of Physical Activity for Optimal Health Understanding Stress for you and your clients Please refer to our Recognition of Prior Learning Policy to learn more on whether your prior studies would be eligible for subject exemption. Click here to read the policy. If you feel you do, we ask that you send in your application for subject exemption including document of evidence within 3 days of enrolling. Payment Details Payment Method * Credit Card Other Please select your preferred enrolment payment option: * Deposit with 12 month payment plan - $1000 Pay upfront and in full (5% discount) - $4655 Yes I have read and understand the Cancellation and Refunds policy as detailed in the course terms and conditions and agree to these terms.* I hereby agree to the course terms and conditions. Click here to read the T&C’s in full. * Card Type * Visa Mastercard Name on Card * Card Number * Card Expiry * 01 02 03 04 05 06 07 08 09 10 11 12 2018 2019 2020 2021 2022 2023 2024 2025 2026 CCV Number * Amount I agree to receive information from Wellness Coaching Australia from time to time that is relevant to my profile and industry Subscribe to: Online Enrolment – March 2019 Intake Professional Certificate 2886018 AIFL1W 0.1 % 7867548 L2BRISAUG 20 $ 7830022 WORKSHOP10 .1 % 6685611 test123 $ 6792501 test 100 %