Personal Development Course Booking Form – Deposit

2017 Personal Development Course DEPOSIT Booking Form

  • Parent or Guardian.
  • Please advise if the student has any allergies or special dietary requirements as well as any other health-related issues that you think we need to be aware of (E.g. for the yoga teacher or fitness teacher to be aware of and any other health related issues that we would need to share with paramedics in case of an accident).
    Photographs and/or video and/or audio recordings and/or interviews may be made during the course/workshop and may feature the students. These may be used for marketing or training purposes. This may include, but is not limited to, demonstrating the course and the fun the students are having in magazines, brochures, newspaper articles, videos, websites and other electronic media. By ticking the box above, you are granting permission for yourself or your child to be photographed/videoed/interviewed on behalf of Shine From Within (or associates) and give permission for the intended uses as stated above. You also agree to release Shine From Within from any and all liability associated with the use by Shine From Within, or a third party, of the photographs/audio/video/interview as set out by this agreement. (Please note that we will happily take down an image of you/your child if you request this of us).
    As the parent/guardian, I acknowledge that Shine From Within is sharing a range of information, facts, research and opinions with the students that is not intended to be taken as personal medical advice. I hereby release, discharge and/or otherwise indemnify and hold harmless Shine From Within, its affiliated organisations and sponsors, volunteers, their contractors and associated personnel, including the owners of venues and facilities utilised for related courses or workshops, from all liability for any loss, damage, cost or expense suffered by the student as a consequence of her participation in this course, including in the unlikely event of death or personal injury.
    Shine From Within reserves the right to cancel or change the course/event in any way at any time. In this instance, we will endeavour to provide you with as much notice as possible. In the event of the course being cancelled by Shine From Within, a transfer will be issued for a future event or a refund issued, whichever you prefer. If circumstances change and the student cannot make the event, the enrolment may be transferred to another person or the student may transfer to a future course. No refund will be issued.