Enrolment Form

Please complete the BOFFIT PT Academy Enrolment Form

First name

Last name

Nationality

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Please select course to enroll?

Who is your PT Mentor? (if you are not sure write don't know)

I confirm I am over 18 years of age

Photo I.D. (Accepted forms are driver's licence or passport) a picture of either from your smartphone is fine

Emergency contact name

Emergency Contact Mobile Number

Ethnic Origin: In order to help us monitor our equal opportunities policy, please best describe your ethnic origin:

Do you have any learning needs or disabilities that may require support during your course?

I have read and agree to the terms & conditions.

I have read and understood the policies and procedures

Signature

Signature field is empty.

I understand that by signing this form I am entering into a binding contract with Boffit Limited to purchase the course materials and that I have agreed to pay all monies due, I declare that to the best of my knowledge all the information supplied on this form is true at the time of booking.

Thank you for choosing

BOFFIT PT Academy

Terms & Conditions

Policies and Procedures

Appeals Procedure

Complaints Procedure

Equal Opportunities Policy

Malpractice & Maladministration Policy