Registration Form

Please note:

It is the responsibility of the student to inform Physical IQ of any changes to these details during the course of their studies.
All statements will be sent to the student via email.

PARENTS DETAILS

CONTACT DETAILS OF A FAMILY MEMBER OR

FRIEND NOT LIVING WITH YOU

COURSE PACK DETAILS

PLEASE INDICATE FIELD OF STUDY

Course Categories



QUALIFICATIONS | PAYMENT SELECTION

Courses (Advanced Specialisation)

Upfront

3 Months*

7 Months*

Physical IQ Core

1 Year
86 Credits

Registration: R4 500
Instalment: R2 500

Registration: R4 500
Instalment: R1 500

Physical IQ Online

1 Year
120 – 137 Credits

Registration: R4 500
Instalment: R 4 700

Registration: R4 500
Instalment: R2 500

Physical IQ International

1 Year
120 – 137 Credits

Registration: R5 000
Instalment: R6 600

Registration: R5 000
Instalment: R3 000

Physical IQ Optimum

1 Year
120 – 137 Credits

Registration: R5 000
Instalment : R2 700

Registration: R10 000
Instalment: R3 800

NASM Certified Personal Trainer

6 To 12 Months

Registration: R5 000
Instalment = R2 700

Registration: R5 000
Instalment: R1 500

National Diploma (Year 2)

1 Year

Registration: R5 000
Instalment: R2 600

Registration: R5 000
Instalment: R1 400

FOR OPTIMUM STUDENTS ONLY | PLEASE

INDICATE PREFFERED NASM ADVANCED SPECIALISATION

PAYMENT SELECTION | NASM CERTIFICATIONS

Courses (Advanced Specialisation)

Upfront

3 Months*

NASM Corrective Exercise Specialist (CES)

3 to 6 Months

Registration: R4 500
Instalment: R2 500

NASM Performance Enhancement
Specialist (PES)

3 to 6 Months

Registration: R5 000
Instalment: R2 200

NASM Certified Nutrition Coach (CNC)

3 to 6 Months

Registration: R5 000
Instalment: R2 200


PAYMENT SELECTION | NASM

SPECIALISATIONS

Courses

Upfront

3 Months*

NASM Women’s Fitness Specialist (WFS)

3 to 6 Months

Registration: R5 000
Instalment: R1 400

NASM Behaviour Change Specialist (BCS)

3 to 6 Months

Registration: R5 000
Instalment: R1 400

NASM Group Personal Training
Specialist (GPTS)

3 to 6 Months

Registration: R5 000
Instalment: R1 400

NASM Fitness Nutrition Specialist (FNS)

3 to 6 Months

Registration: R4 000
Instalment: R1 400

NASM MMA Conditioning
Specialist (MMACS)

3 to 6 Months

N/A

NASM Golf Fitness Specialist (GFS)

3 to 6 Months

N/A

NASM Senior Fitness Specialist (SFS)

3 to 6 Months

N/A

NASM Youth Exercise Specialist (YES)

3 to 6 Months

N/A

NASM Weight Loss Specialist (WLS)

3 to 6 Months

N/A


PAYMENT SELECTION | SHORT COURSES

Short Courses

Upfront

3 Months*

Fitness Instructor

3 to 6 Months

Registration: R3 000
Instalment: R1 200

Group Training Instructor

3 months

Registration: R3 000
Instalment: R1 400

Sports Massage Therapy

3 Months

Registration: R3 000
Instalment: R1 600

Pilates Instructor

3 Months

Registration: R3 000
Instalment: R1 400

Yoga Instructor

3 Months

Registration: R3 000
Instalment: R1 400

Indoor Cycling Instructor

3 Months

Registration: R3 000
Instalment: R1 400


*PAYMENT TERMS AND CONDITIONS:

1. Course material will not be issued unless the registration fee is paid in full.
2. Please note that if a payment option is selected, you will need to sign a debit order authorisation.
3. Payment instalments must be consecutive.
4. A missed payment instalment will constitute a breach of contract, and student services will be suspended.
5. Course fees must be paid in full to allow admission to examinations.
6. Course fees are higher when a payment option is selected to cover increased administration.

VALUE-ADDED COURSE OPTIONS

Item Description

Cost

Selection

Physical IQ Anatomy Manual

R250

Tutorial (1 hour with Master Trainer)

R250

Tutorial (1 hour with Master Trainer)

R400

Total


PLEASE ENSURE THE FOLLOWING DOCUMENTS

ARE HANDED IN UPON REGISTRATION:

IF FINANCIAL SUREITY IS UTILISED:

ONCE YOU HAVE EVERYTHING

Email marketing@physicaliq.com or hand it in to us in person

Campus Address:

The Atrium Lifestyle Centre, 10 Old Main Road, Clifton Park, 3610

Tel:

031 630 0747

Once Hours:

8am – 4pm, Monday – Friday (Reception open until 4:30pm)

BANK ACCOUNT DETAILS

Account Name:

Physical IQ Sports Academy

Bank:

Standard Bank

Account Number:

253 238 439

Branch:

Musgrave

Ref:

Student name and surname

TERMS AND CONDITIONS

• I understand that I need to enclose a registration fee with my registration form in order to receive my course material.
• I understand that if I wish to withdraw from a course, my registration fee will not be refunded.
• I understand that once I have registered for a course, a 14-day cooling off period will apply. I can be refunded
my course fees, excluding my registration fee, if I withdraw from a course within this 14-day cooling off period.
• I understand that if I withdraw after the 14-day cooling off period, no refund will be given.
• Any payment agreement signed at registration must be honoured until the course is paid in full.
• I understand that qualifications need to be completed within the duration of 18 months to avoid being deregistered.
• I understand that NASM examinations need to be written within 12 months of registration, after which the
course/courses will expire, and an administration fee will apply to reactivate the course/courses for a further 6 months.

NASM Re-activation Fee

$199 (Please Note This Is A Dollar Amount)

Physical IQ Re-activation Fee

R1000

Exam Reattempt

R600

NOT INCLUDED IN THE COURSE FEES

Replacement of course items

Additional Master Trainer sessions

Courier of the certificate

Re-examination fees

• I understand that if I take longer than 18 months to complete my course/courses, full course fees will apply to re-register.
• In the case of a withdrawal from the course or a transfer to another form of study, the following reasonable
cancellation/transfer fees will apply to cover administrative and other costs:

Date of withdrawal or transfer

Payments liable according to original registration

Up to 3 months into course

50% of the overall course fees, including cost of any academic materials
supplied, regardless of payment arrangements

More than 3 months into course

100% of the overall course fees, including cost of any academic
materials supplied, regardless of payment arrangements

• I understand that this registration form, including course offerings and course costs, may change. In this case,
the new course offerings and costs will apply to my registration. The person/s signing this contract warrants and
promises that they have read this contract and understood it, and that they have the authority to accept and be
contractually bound by the terms of this contract.
I/We the undersigned have read, completed and understood the entire contents of this document, and hereby
jointly and severally accept all terms and conditions.

Registration Form

Please note:

It is the responsibility of the student to inform Physical IQ of any changes to these details during the course of their studies.
All statements will be sent to the student via email.

PARENTS DETAILS

CONTACT DETAILS OF A FAMILY MEMBER OR

FRIEND NOT LIVING WITH YOU

COURSE PACK DETAILS

PLEASE INDICATE FIELD OF STUDY

Course Categories



QUALIFICATIONS | PAYMENT SELECTION

Courses (Advanced Specialisation)

Upfront

3 Months*

7 Months*

Physical IQ Core

1 Year
86 Credits

Registration: R4 500
Instalment: R2 500

Registration: R4 500
Instalment: R1 500

Physical IQ Online

1 Year
120 – 137 Credits

Registration: R4 500
Instalment: R 4 700

Registration: R4 500
Instalment: R2 500

Physical IQ International

1 Year
120 – 137 Credits

Registration: R5 000
Instalment: R6 600

Registration: R5 000
Instalment: R3 000

Physical IQ Optimum

1 Year
120 – 137 Credits

Registration: R5 000
Instalment : R2 700

Registration: R10 000
Instalment: R3 800

NASM Certified Personal Trainer

6 To 12 Months

Registration: R5 000
Instalment = R2 700

Registration: R5 000
Instalment: R1 500

National Diploma (Year 2)

1 Year

Registration: R5 000
Instalment: R2 600

Registration: R5 000
Instalment: R1 400

FOR OPTIMUM STUDENTS ONLY | PLEASE

INDICATE PREFFERED NASM ADVANCED SPECIALISATION

PAYMENT SELECTION | NASM CERTIFICATIONS

Courses (Advanced Specialisation)

Upfront

3 Months*

NASM Corrective Exercise Specialist (CES)

3 to 6 Months

Registration: R4 500
Instalment: R2 500

NASM Performance Enhancement
Specialist (PES)

3 to 6 Months

Registration: R5 000
Instalment: R2 200

NASM Certified Nutrition Coach (CNC)

3 to 6 Months

Registration: R5 000
Instalment: R2 200


PAYMENT SELECTION | NASM

SPECIALISATIONS

Courses

Upfront

3 Months*

NASM Women’s Fitness Specialist (WFS)

3 to 6 Months

Registration: R5 000
Instalment: R1 400

NASM Behaviour Change Specialist (BCS)

3 to 6 Months

Registration: R5 000
Instalment: R1 400

NASM Group Personal Training
Specialist (GPTS)

3 to 6 Months

Registration: R5 000
Instalment: R1 400

NASM Fitness Nutrition Specialist (FNS)

3 to 6 Months

Registration: R4 000
Instalment: R1 400

NASM MMA Conditioning
Specialist (MMACS)

3 to 6 Months

N/A

NASM Golf Fitness Specialist (GFS)

3 to 6 Months

N/A

NASM Senior Fitness Specialist (SFS)

3 to 6 Months

N/A

NASM Youth Exercise Specialist (YES)

3 to 6 Months

N/A

NASM Weight Loss Specialist (WLS)

3 to 6 Months

N/A


PAYMENT SELECTION | SHORT COURSES

Short Courses

Upfront

3 Months*

Fitness Instructor

3 to 6 Months

Registration: R3 000
Instalment: R1 200

Group Training Instructor

3 months

Registration: R3 000
Instalment: R1 400

Sports Massage Therapy

3 Months

Registration: R3 000
Instalment: R1 600

Pilates Instructor

3 Months

Registration: R3 000
Instalment: R1 400

Yoga Instructor

3 Months

Registration: R3 000
Instalment: R1 400

Indoor Cycling Instructor

3 Months

Registration: R3 000
Instalment: R1 400


*PAYMENT TERMS AND CONDITIONS:

1. Course material will not be issued unless the registration fee is paid in full.
2. Please note that if a payment option is selected, you will need to sign a debit order authorisation.
3. Payment instalments must be consecutive.
4. A missed payment instalment will constitute a breach of contract, and student services will be suspended.
5. Course fees must be paid in full to allow admission to examinations.
6. Course fees are higher when a payment option is selected to cover increased administration.

VALUE-ADDED COURSE OPTIONS

Item Description

Cost

Selection

Physical IQ Anatomy Manual

R250

Tutorial (1 hour with Master Trainer)

R250

Tutorial (1 hour with Master Trainer)

R400

Total


PLEASE ENSURE THE FOLLOWING DOCUMENTS

ARE HANDED IN UPON REGISTRATION:

IF FINANCIAL SUREITY IS UTILISED:

ONCE YOU HAVE EVERYTHING

Email marketing@physicaliq.com or hand it in to us in person

Campus Address:

The Atrium Lifestyle Centre, 10 Old Main Road, Clifton Park, 3610

Tel:

031 630 0747

Once Hours:

8am – 4pm, Monday – Friday (Reception open until 4:30pm)

BANK ACCOUNT DETAILS

Account Name:

Physical IQ Sports Academy

Bank:

Standard Bank

Account Number:

253 238 439

Branch:

Musgrave

Ref:

Student name and surname

TERMS AND CONDITIONS

• I understand that I need to enclose a registration fee with my registration form in order to receive my course material.
• I understand that if I wish to withdraw from a course, my registration fee will not be refunded.
• I understand that once I have registered for a course, a 14-day cooling off period will apply. I can be refunded
my course fees, excluding my registration fee, if I withdraw from a course within this 14-day cooling off period.
• I understand that if I withdraw after the 14-day cooling off period, no refund will be given.
• Any payment agreement signed at registration must be honoured until the course is paid in full.
• I understand that qualifications need to be completed within the duration of 18 months to avoid being deregistered.
• I understand that NASM examinations need to be written within 12 months of registration, after which the
course/courses will expire, and an administration fee will apply to reactivate the course/courses for a further 6 months.

NASM Re-activation Fee

$199 (Please Note This Is A Dollar Amount)

Physical IQ Re-activation Fee

R1000

Exam Reattempt

R600

NOT INCLUDED IN THE COURSE FEES

Replacement of course items

Additional Master Trainer sessions

Courier of the certificate

Re-examination fees

• I understand that if I take longer than 18 months to complete my course/courses, full course fees will apply to re-register.
• In the case of a withdrawal from the course or a transfer to another form of study, the following reasonable
cancellation/transfer fees will apply to cover administrative and other costs:

Date of withdrawal or transfer

Payments liable according to original registration

Up to 3 months into course

50% of the overall course fees, including cost of any academic materials
supplied, regardless of payment arrangements

More than 3 months into course

100% of the overall course fees, including cost of any academic
materials supplied, regardless of payment arrangements

• I understand that this registration form, including course offerings and course costs, may change. In this case,
the new course offerings and costs will apply to my registration. The person/s signing this contract warrants and
promises that they have read this contract and understood it, and that they have the authority to accept and be
contractually bound by the terms of this contract.
I/We the undersigned have read, completed and understood the entire contents of this document, and hereby
jointly and severally accept all terms and conditions.