First Time Application Les Mills Direct Debit

Step 1 of 10 - Your details

HIDDEN-DISCOUNT
Personal details

Any field that is noted by a '*' is a required field and must be completed.
Your name:*
First Last
Other name you are professionally known by:
Is your qualification issued in a different name to that above?*
- Yes
- No
Previous name:*
Upload Name Change

Marriage/Civil Union Change - If you have changed your name via marriage or civil union we ask for a copy of your certificate.

Deed Poll - If you have changed your name via deed poll we ask for the applicable name change documents showing the name change.
Upload*
Drop files here or

Max. file size: 24 MB.
Gender*
- Male
- Female
- Other (please specify):
*
Date of birth:*
DD slash MM slash YYYY
Your Postal Address

You can check if you are providing a valid NZ postal address using the NZ Post Address Finder.
Address*
Address Line 1 Address Line 2 City/Region Postcode Country
Email*
Enter Email Confirm Email
Phone*

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Workplace(s)

Please provide information on your workplace(s) here.
Please select the Les Mills facility you are operating from:*
Are there any other REPs registered facilities you would also like to include?*
You can include up to 5 REPs Registered Facilities.
- Yes
- No
Other facilities -*
Second:
Third:
Third:
Fourth:
Fourth:
Fifth:
Fifth:

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Yoga Teacher Qualification
Do you hold one of the REPs Recognised Yoga Teacher entry qualifications?*
Have you completed the qualification?*
- Yes
- Yes - almost completed
- No
Have you completed the RYT200 qualification?*
- Yes
- Yes - almost completed
- No
We will require a confirmation that you are undertaking the listed qualification from your education provider.
This can be in the form of:
Have you completed the equivalent of 200-hours of Yoga teacher Training?*
- Yes
- No
Name of your education provider?*
Name of your qualification?*
Date of completion:*
MM slash DD slash YYYY
Additional Notes for Yoga Teacher Training:
YOGA VERIFICATION REQUIRED
Verification now apply
For a qualification we do not automatically recognise - we do offer a verification process through an independent REPs assessor to verify the qualification you have completed meets the 200-hour Yoga Teacher training standards.
- Yoga verification fee ($168.00)
Yoga Qualification Requirements

To verify you hold the applicable requirements to register with REPs as a Yoga Teacher you would need to hold the minimum of 200 hours of Yoga Teacher Training. If you do not hold these requirements for this level you can return to the level selection page to remove the Yoga Teacher level.

For a Les Mills Balance Group Exercise Instructor you may only require registration at the level of Group Exercise Pre Choreographed (Contractor). Please confirm this with your Les Mills Group Exercise Manager.
Qualification Upload

Please upload the supporting documents for the above registration level.

This can include scanned copies or a clear photo of:
- qualification completion certificate
- letters from education provider(s) (on official letterhead)
Upload:*
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.
Total
$ 0.00

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Pilates qualification

Pilates Teacher provisional registration

REPs is currently developing the Pilates Teacher industry standards. We are currently providing a provisional registration at the level of Pilates Teacher until the industry standards are finalised.
When the standards are complete, those provisionally registered will be contacted by REPs to undertake a mapping of an individuals qualifications against the industry standards.

Provisional registration is a temporary registration status provided to allow time for the industry standards to be confirmed. To be provisionally registered, we require a copy of a recognisable/reputable qualification relevant to delivering Pilates.
Name of your education provider?*
Name of your qualification?*
Date of completion:*
Additional information

As REPs are still developing the registration levels full requirements we would like to ask some general information on the qualification you have completed, which are:
- hours/days of training involved
- length of time the course was delivered over
- Contact details for the course provider - e.g. website, contact person, contact email address.
Additional Notes:
Qualification Upload

Please upload the supporting documents for the above registration level.

This can include scanned copies or a clear photo of:
- qualification completion certificate
- letters from education provider(s) (on official letterhead)
Upload:*
Drop files here or

Max. file size: 24 MB.

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First Aid and CPR Certificate

Do you need to hold a comprehensive workplace First Aid or CPR?
You can find the REPs First Aid Policy on the REPs website
Please confirm the certification you hold?*
- Comprehensive Workplace First Aid certificate
- CPR certificate
First Aid Upload

Please upload the supporting documents for your First Aid/CPR.
Please upload a copy of your First Aid certificate*
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.

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Terms and Conditions
Please scroll down to see all terms and conditions:*
I agree to the terms and conditions:
1. That all information provided on this form is accurate and true.

2. That all online transactions and declarations are binding, and that I won’t disclose any passwords with others.

3. That REPs registration is being purchased for my business or occupational purposes.

4. To be bound by the REPs Code of Ethical Practice (a copy can be downloaded at www.reps.org.nz).

5. That REPs has permission to contact third parties to verify any details of my registration application. To also allow REPs to pass on any contact details to third parties that provide services (e.g. ExerciseNZ, Australian Fitness Network, PT Council etc), and for them to contact me.

6. That if operating from a Registered Exercise Facility, REPs is authorised to share and request information with/from the facility for the purposes of completing or verifying registration, or for other Registered Exercise Facility compliance requirements.

7. To complete any audits or reviews REPs may undertake to verify my level of registration and/or competencies.

8. To allow REPs to disclose to third parties my registration status, and any reasons for non-registration.

9. To undertake any training or assessment at my own cost that REPs identifies as needed to maintain registration.

10. For those with insurance, REPs reserves the right to change insurer at any time. This may result in changes to the terms and condition of the cover, but REPs will ensure the level of cover is comparable.

11. To make payment of the registration fee to REPs, and that payment is for application, not acceptance. Refunds are not given for unsuccessful registrations. I agree that collections costs are payable by me should I default on any payment due to REPs.

12. To keep my Comprehensive First Aid, or CPR certificate current at all times in line with REPs First Aid/CPR policy which is viewable at the link www.reps.org.nz/firstaid.

13. To undertake sufficient Continuing Professional Development (CPD). Currently 10 CPD points per registration year.

This agreement is between the registration applicant and the Exercise Association of New Zealand Incorporated. NZ Register of Exercise Professionals Limited (REPs) is the trading name of the Exercise Association of New Zealand Limited
Application Processing Time:

- Urgent Processing - 5 working days priority processing.
- Standard processing - 7 to 10 working days.

Any incomplete application that would require additional information to complete it, may extend the processing time required.
Do you wish to add Urgent processing?*
- No - Standard Processing
- Yes - Urgent Processing ($50.00)
Payment
Payment option:*
- Special Code
- Monthly Direct Debit
Total fee:
$ 0.00
Special code:*
If you have a code issued to you by REPs or your employer enter the code here and select "Apply".
Payment - Direct Debit Form Upload

- Download the monthly payment - Direct Debit Request form here.
- Calculate payment total over 12 months. Divide Total by 12.
- Complete form.
- Upload form below.
Direct Debit form upload:*
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.
Submit application

Once completed the application will be sent through to REPs for processing and you will receive a confirmation of submission email.

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Step 1 of 10 - Your details

Personal details

Upload Name Change

Your Postal Address

Workplace(s)

Registration Categories

Select registration levels:

Exercise Prescription Qualification

FURTHER ASSESSMENT/VERIFICATION REQUIRED

Verification Options

Qualification Upload

Group Exercise Qualification

Group Fitness Verification

Group Fitness Verification

Group Fitness Verification

Group Fitness Verification

Pathways to registration

Qualification Upload

Yoga Teacher Qualification

We will require a confirmation that you are undertaking the listed qualification from your education provider.

This can be in the form of:

- a letter on official letterhead

- an official transcript

YOGA VERIFICATION REQUIRED

Yoga Qualification Requirements

Qualification Upload

Pilates qualification

Pilates Teacher provisional registration

Additional information

Qualification Upload

First Aid and CPR Certificate

First Aid Upload

Insurance Declaration

Terms and Conditions

Application Processing Time:

Payment

Payment - Direct Debit Form Upload

Submit application

Step 1 of 10 - Your details

Personal details

Upload Name Change

Your Postal Address

Workplace(s)

Registration Categories

Select registration levels:

Exercise Prescription Qualification

FURTHER ASSESSMENT/VERIFICATION REQUIRED

Verification Options

Qualification Upload

Group Exercise Qualification

Group Fitness Verification

Group Fitness Verification

Group Fitness Verification

Group Fitness Verification

Pathways to registration

Qualification Upload

Yoga Teacher Qualification

We will require a confirmation that you are undertaking the listed qualification from your education provider.

This can be in the form of: - a letter on official letterhead - an official transcript

YOGA VERIFICATION REQUIRED

Yoga Qualification Requirements

Qualification Upload

Pilates qualification

Pilates Teacher provisional registration

Additional information

Qualification Upload

First Aid and CPR Certificate

First Aid Upload

Insurance Declaration

Terms and Conditions

Application Processing Time:

Payment

Payment - Direct Debit Form Upload

Submit application

This can be in the form of:

- a letter on official letterhead

- an official transcript