Course Registration Form

Please complete this form to register for one of our courses.

course title (required)

course number (if known)

your name (required)

address (required)

town (required)

post code (required)

email (required)

phone (required)

gender (required)

ethnicity (required)

highest qualification (required)

day of birth (required)

month of birth (required)

year of birth (required)

Questions, comments from you (optional)

1. Fees must be paid before the course begins.
2. If the learner withdraws from a course 10 days or more before a course is due to take place, a full refund will be made.
3. If the learner withdraws between 9 and 5 days before a course takes place a refund of 50% will be made.
4. If the learner withdraws between 4 and 2 days before the course takes place, a refund of 25% will be made.
5. If the learner withdraws less than 2 days before the course or does not turn up for the course, no refund will be made.
6. Where personal circumstances warrant (e.g. family bereavement, injury), these conditions may be waived by REAP staff on compassionate grounds.
Extract from Fees Policy: “11. Where fees conditions are not waived (see Enrolment Conditions 6), the learner may appeal that decision to the REAP Board by letter. The decision of the REAP board shall be final.”
NB: The full policy relating to these conditions is available from REAP Staff on request.

Acceptance of Conditions
1. I have read, understand and accept the Conditions of Enrolment listed above. 2. I understand that the information provided may be used to provide research data, or proof of attendance for the Ministry of Education, Tertiary Education Commission, REAPANZ, ACE Aotearoa or our auditors.

I understand that I will be contacted to confirm my place.

I agree to pay the course fees as listed.

Please invoice the organisation listed below for the fees associated with this course


organisation address