Participant name *
Sex Male Female
Date of BirthFormat: 00/00/0000
Second Participant name
Third Participant name
Mobile or Contact Number *If under 18yo parent or guardians number
Event/s Sprints (for Team Sports) 100m 200m 400m 800m 1500m 60m Hurdles 80m Hurdles 90m Hurdles 100m Hurdles 110m Hurdles 200m Hurdles 400m Hurdles Long Jump Triple Jump High Jump (Monday's PM only) Javelin Discus Shot Put Heptathlon DefaultPlease choose which events do you wish to be coached for?
Requested PT Day/s Monday AM Monday PM (WAAS) Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Saturday PMWhat day's do you wish to train? (subject to availability). We will contact you to confirm the exact time & place of the session. Most sessions are north of Perth.
Prefered method of contact Email SMS
Payment Method Cash (on the day) Bank Deposit Credit Card (via PayPal below)Bank deposit details: Paul Edmiston BSB: 016080 Account No: 590417278 | Ref: Your Name.
45 minTraining Sessions 45 min PT (one person) - $80 (Mon-Fri) 45 min PT (two people) - $100 (Mon-Fri) 45 min PT (three people) - $120 (Mon-Fri) 45 min PT (one person) - $100 (Sat) 45 min PT (two person) - $120 (Sat) 45 min PT (three people) - $140 (Sat)
60 minTraining Sessions 60 min PT (one person) - $100 (Mon-Fri) 60 min PT (two people) - $120 (Mon-Fri) 60 min PT (three people) - $140 (Mon-Fri) 60 min PT (one person) - $120 (Sat) 60 min PT (two person) - $140 (Sat) 60 min PT (three person) - $160 (Sat)
Multiple DiscountTraining Sessions (Pre Paid Only) 5 x 45 min PT (one person) - $375 (Mon-Fri) 10 x 45 min PT (one person) - $750 (Mon-Fri) 5 x 60 min PT (one person) - $475 (Mon-Fri) 10 x 60 min PT (one person) - $950 (Mon-Fri) 5 x 45 min PT (one person) - $475 (Sat) 10 x 45 min PT (one person) - $950 (Sat) 5 x 60 min PT (one person) - $575 (Sat) 10 x 60 min PT (one person) - $1100 (Sat)
Private Gym Training Session 60min 90minCurrent clients only. Or book an initial PT consultation first. Private Gym northern suburbs.
Sprinting Fast T-Shirt Medium Large XLOnly $10. Pick up at the session. View sizing guide here: https://sprintingfast.com/holiday-clinic/
Comments?You may request an exact time of day or a longer session.
Does your requested PT session fall on a Sunday or Public Holiday? YesCost is an extra $20
Any medical conditions?
Name of Parent or Guardian
If participant is under 18yo
Disclaimer * I agree24HR CANCELLATION POLICY applies. I understand that I must cancel within 24hr of the scheduled PT session or I will be charged full price for that session. Bookings are essential and subject to availability.
Image Disclamer Yes NoI give permission for Sprinting Fast to use video and photo's of my image for promotional and coaching purposes.
Gift Voucher YesIs this a gift voucher for someone?
Name (of Gift Voucher purchaser)
'Thoughtfully given by' is printed on the certificate.