Enrolment form

How to enrol

1
Read the conditions + Participant liability Indemnity

2 
Book by Email
Complete the Enrolment form and email it to Gerard 

3 
Payment options
Postal order to G.Menzel C/O Carisbrook GPO

or Payment to 
bank    BSB 944300  Acc. 016183975


Book by Phone
0407734479
I will then send you a email of confirmation and a receipt. 

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Enrolment Form  
classes  Workshops @ Wild lotus

Cut and paste or send as attachment this form by email  



Return this form ; email; gmenzel@hotmail.com   0407734479 info Gerard

Class numbers may be limited. Completing and sending the form to reach 7 days before the start date, may help guarantee you a place.


Name......................................................................................................................................

Event Venue.........................................................................................................................

Date......................................................................................................................................

Previous experience................................................................................................................


Contact details

Phone................................................Email...........................................................................

Equipment order for the class.


Give details............................................................................................................................

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Conditions of enrolment
In completing this form I agree to pay for the event on the day with exact amount in cash / postal order /bank cheque, paid to Gerard Menzel. 

or

Before the event by bank transfer or Paypal online

Think carefully and plan your time before you enrol to get the most benefit.
Click to read your indemnity agreement or read below.

I have read and agree with the Enrolment conditions+ indemnity declaration conditions




Signed........................................................................

Date...........................................................................



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Before you enrol you must read and agree to the conditions. 


Conditions
Participant Liability Indemnity 

Please read carefully

Wild Lotus classes, seminars, workshops (Aikido, Tai Chi, Yoga, Massage, Sumie) ; are arts with certain principles, traditions which have to be understood and observed at all times. Any physical activity and eastern art has an element of danger and unpredictability in its practice so permanent and serious injury could possibly result from your participation in this practice you are participating in with Wild Lotus Arts. For this reason we ask you to carefully read the indemnity below and indicate your assent to signing your name. Participants under the age of 18 years must have a parent of guardian sign to indicate their consent.

To be completed by participant

I,_______________________________________(name), the undersigned, of the above address, hereby recognize that this activity/ class I involve myself in could by its nature produce serious and permanent injury. I realise that I should I sustain any injury, no matter how caused, through participation in the classes/workshops, no liability, neither tortuous nor contractual, will attach to any of the instructors of or participants in the said seminar/class/workshop;

I have the following illness, disability or injury that could place me at risk of injury during training; ________________________________________________________

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Notwithstanding such injury(s), I agree to assume the risk of such injury(s) being aggravated and indemnify the instructors of, and the participants in, the said seminar/class/workshop of any liability with respect to this or any other injury I may sustain no matter how caused. I realise a serious and disciplined attitude is required at all times to minimise the risk of injury.

2.Refunds

14  days prior to event 100% less a booking fee of $15, / 13 -7 days prior to event 50% refund /  less than, less than 7 days 20% refund