One on One Sign Up

Name *

First Name

Last Name

Phone

(###)

###

####

Desired Program Structure *

Please select from the following options below. If you have other preferences, then please outline them in the 'additional information' section below.

20 Sessions (Once per week in Winter)

20 Sessions (2025-26 Season Package with fortnightly sessions)

30 Sessions (2025-26 Season Package with 3 sessions monthly)

40 Sessions (2025-26 Season Package with Weekly Sessions)

60 Sessions (2025-26 Season Package with 6 Monthly Sessions)

80 Sessions (2025-26 Season Package with 8 Monthly Sessions)

120 Sessions (2025-26 Season Package with 12 Monthly Sessions)

Preferred Start Date *

This is the date that you would like to begin the program. Please note that the earliest start date for the program is the 1st of May.

MM

DD

YYYY

Wet sessions

Choose your preferences from the options below for wet weather sessions.

I am happy for you to book indoors if they are available and understand that this will incur a cost of $35. I am happy for you to use your discretion based on weather forecasts.

I would like to discuss with you when rain is around and reschedule if possible.

I would like to pay the wet weather levy (10% of the program cost) which replaces the additional costs associated with bookings when wet weather is around. Any unused credit is returned at the end of the program.

Social Media and Website Permissions *

Please check your preferences

I would like to remain anonymous and do no want my results, images or videos shared on social media.

I am happy to have results shared, but please do not post images or videos of my participation on social media or your website.

I give full permission to use my videos, images and results on social media, your website and any other associated marketing materials.