NHFA Enrolment Form

Personal Details

  • First Name
  • Last Name
  • Street Address
  • Suburb
  • State
  • Postcode
  • Mobile
  • Date of Birth
  • Email Address
  • Unique Student Identification Number (USI)
  • Workplace
  • Gender
  • Country of Birth
  • City / Town of Birth
  • Are you An Australian Citizen
  • Are you of Aboriginal or Torres Strait Islander origin
  • Do you speak a language other than English at home? If more than one
  • If Yes, please specify (Optional)
  • How well do you speak English
  • Shirt Size
  • Emergency Contact Details

  • First Name
  • Last Name
  • Mobile
  • Relationship
  • Workplace
  • Course Details

  • Course Location
  • Part Time / Full Time
  • Which Course are you enrolling into?
  • This enrolment is for the course starting on:
  • What are you most looking forward to learning while attending the course?
  • What are your career ambitions and outcomes once completing the course?
  • Statistical Details

  • How did you first hear about NHFA?
  • What is your highest COMPLETED School level?
  • In which year did you complete your last year of highschool?
  • Are you still enrolled into Secondary Education?
  • Have you SUCCESSFULLY completed any of the qualifications below? Please check those that are applicable.

  • Employment - of the following categories, which BEST describes your current employment status?
  • If you have a disability, impairment or long-term condition, please select those that apply.
  • If not listed, please enter condition (optional)
  • Of the following categories, which BEST describes your main reason for undertaking this course?
  • Have you received the participant handbook? Click here to download.
  • Screening

    This screening tool does not provide advice on a particular matter, nor does it substitute for advice from an appropriately qualified medical professional. No warranty of safety should result from its use. The screening system in no way guarantees against injury or death. No responsibility or liability whatsoever can be accepted by the National Health and Fitness Academy for any loss, damage or injury that may arise from any person acting on any statement or information contained in this tool. AIM: to identify those individuals with a known disease, or signs or symptoms of disease, who may be at a higher risk of an adverse event during physical activity/exercise. This stage is self-administered and self-evaluated.

  • Has your doctor ever told you that you have a heart condition, or have you ever suffered any cardiovascular or Cardiopulmonary challenges including Heart conditions or High/Low blood pressure?
  • Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise?
  • Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?
  • Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?
  • If you have diabetes (type I or type II) have you had trouble controlling your blood glucose in the last 3 months?
  • Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise?
  • Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity/exercise?
  • Are you pregnant or have you given birth within the last 12 months?
  • Do you experience chest discomfort or unreasonable breathlessness with physical activity?
  • Do you Experience dizziness, fainting or blackouts?
  • Do you smoke cigarettes on a daily or weekly basis or have you quit smoking in the last 6 months?
  • Do you Take prescription medications, pills, tablets or prescription supplements?
  • Have you been told that you have high cholesterol?
  • Have you spent time in hospital (including day admission) for any medical condition/illness/injury during the last 12 months?
  • Do you have any notable posture abnormalities?
  • Do you have any physical or mental conditions that may limit your activity or cause you harm when participating in an exercise program or that may be notable in any way?
  • Agreement

    Agreement for Participating in the National Health and Fitness Academy Certificate III and IV Personal Training Program. I acknowledge that it is a condition of participating in this activity that I do so at my own risk. I accept all risks and hereby indemnify and release the trainer, their agents, affiliates, employees, members, sponsors, promoters and any person or body directly and indirectly associated with the Trainer, against all liability (including liability for their negligence and the negligence of others) claims, demands, and proceeding arising out of or connected with my participation in this Activity. This release and indemnity continues forever and binds my heirs, successors, executors, personal representatives and assigns. I acknowledge that participating in this activity may involve a risk of serious injury or even death from various causes including over exertion, dehydration, equipment failure and accidents with equipment and surroundings. I recognize the difficulties associated with the Activity and attest I am physically fit to participate safely in the Activity and that a qualified medical practitioner has not advised me otherwise. I understand the demanding physical nature of this Activity. I am not aware of any medical condition, injury or impairment that will be detrimental to my health if I participate in this Activity. In the event that I become aware of any medical condition, injury or impairment that may be detrimental to my health if I participate in this activity my Trainer will be immediately informed. By continuing to participate in this activity, I accept the risks despite these conditions and am still, and will always be under the terms of this agreement. I certify that I am 18 years or older and have read this document and fully understand it. As a parent or guardian of the participant (a) I agree to the above for myself and on behalf of the participant and (b) I indemnify and will keep indemnified any person or body directly or indirectly associated with the conduct of the activity on the terms referred to.

  • Signature:
  • Date:
  • Declaration

  • I declare that I give permission for National Health and Fitness Academy to disclose my contact details to Australian Skills Quality Authority if requested for quality assurance purposes.
  • Declaration I understand and accept the Policies and Procedures as detailed within the Student Handbook. I wish to enrol into the and I declare all the information that I have provided herein is true and accurate to the best of my knowledge:
  • Applicant Signature:
  • Date:
  • Gaurdian Signature (If applicable):
  • Date:
  • Relationship to Student
  • Contact Number
  • Please upload Proof of ID. 5mb size limit. Acceptable file types: Gif, PNG, JPG, JPEG, PDF.

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