5th Point Training Enrolment Form – 5th Point Australia

Candidate Personal Details
Surname or Family Name*
First Given Name*
Middle Name
- Email*
- Phone*
Emergency Contact Details
Emergency Contact Name*
- Emergency Contact Phone*
- Relationship
I consent to 5th Point taking photos and/or video recordings during my training course. I understand that these photos may be used for promotional purposes, including being published on the website and/or social media.
Consent*
- I consent to 5th Point taking photos and/or video recordings during my training course. I understand that these photos may be used for promotional purposes, including being published on the website and/or social media.
- I DO NOT consent to 5th Point taking photos and/or video recordings during my training course. I understand that these photos may be used for promotional purposes, including being published on the website and/or social media.
Name*
Signature*
Date*

Day
Month
Year

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