5 Star Training & Consulting

Student Enrolment Form

You are enrolling in a Basic Servicing

Course Start date: 17 Nov 2024

This 1 day course commences at 8.30am and will focus on developing your skills in maintaining smooth operation of your bicycle. We will be demonstrating and guiding you step by step through the following:
.gear adjustments
.brake adjustments
.minor headset adjustments
.minor wheel truing
.checking chain/cassette wear
.cleaning and lubrication
.learning how to use a chain breaker
.replacing chain (demonstration only)
This class is aimed at the enthusiast that has some knowledge in bicycle mechanics but wants to expand that knowledge and work on their own bicycle with confidence.

We encourage you to bring along your own bicycle so you can learn the ins and outs of the specific components you have.

You will receive a statement of completion following the course.

Please fill in the Registration form below. Fields with a red * are required.

Terms & Policies

I have read and I agree to the 5 Star Training & Consulting Privacy Notice *

I have read and I agree to the terms and conditions. *

Student details

Enter your full name

Title *

Family name (surname)*

First given name/s*

Second given name (middle)

Enter your birth date

Date of Birth *

Please select your Gender

Gender *

Enter your contact details

Email *

Confirm Email *

Alternative email address (optional)

Additional Email

This email address will be used as a CC email address on communications to you, please use this field to indicate if we need to CC another person / company in your communications.

Mobile *

Home Phone

Work Phone

Preferred Contact *

Your Company of employment

Company

Please enter the details for your your next-of-kin / Emergency Contact

Full Name *

Phone/Mobile *

Relationship *

Address(es)

What is the address of your usual residence?

Please provide the physical address (street number and name not post office box) where you usually reside rather than any temporary address at which you reside for training, work or other purposes before returning to your home.

If you are from a rural area use the address from your state or territory’s ‘rural property addressing’ or ‘numbering’ system as your residential street address.

Building/property name is the official place name or common usage name for an address site, including the name of a building, Aboriginal community, homestead, building complex, agricultural property, park or unbounded address site.

Building/property name

Flat/unit details

Street or lot number (e.g. 205 or Lot 118) *

Street Name *

Suburb, locality or town *

Postcode *

State/Territory *

What is your postal address (if different from above)?

I have a postal address that is different to the residential address provided

Building/property name

PO Box

Flat/unit details

Street or lot number (e.g. 205 or Lot 118)

Street Name

Suburb, locality or town

Postcode

State/Territory

RTO Questions

RTO Specific Questions

Are you currently receiving Centrelink benefits (Yes/No) *

If 'Yes', provide your CRN and benefit type

Do you wish to apply for RPL or Credit Transfer from previous studies applied to this course *

When is a suitable time for 5 Star to contact you regarding CT or RPL?

Have you participated in any other Smart & Skilled funded course this yeear

Misc.

Language, Literacy & Numeracy

LLN Assistance
I require Language, Literacy and Numeracy assistance.

How did you hear about us?

Referral Type

Is there anything else we need to know, in regards to your enrolment?

Additional Notes

Payment

Payment is Optional for this course

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