Participant name *
Gender * Male Female
Year of Birth *
Second Participant name
If only one participant leave blank
Sex Male Female
Year of Birth
Third Participant name
Gender Male Female
Name of Parent or Guardian
If participant is under 18yo
Mobile or Contact Number *Parent or guardians number (If participant is under 18yo)
Sprint Training AFL Soccer Netball Rugby Cricket Basketball Hockey Tennis Other Please bring your boots or game footwear with you.
Athletics Training 100m 200m 400m 800m 1500m 60m Hurdles 80m Hurdles 90m Hurdles 100m Hurdles 110m Hurdles 200m Hurdles 400m Hurdles Long Jump Triple Jump Javelin Discus Shot Put Decathlon/HeptathlonPlease choose which events do you wish to be coached for?
Requested PT Day/s Tuesday PM Wednesday PM Thursday PM Friday PM Saturday AM Saturday PMWe will contact you to confirm the exact time & place of the session. Sessions are northern suburbs of Perth ONLY.
Prefered method of contact Email SMS
Payment Method Cash (on the day) Bank Deposit Credit Card (via PayPal below)Bank deposit (is prefered to CC) details: Paul Edmiston BSB: 016080 Account No: 590417278 | Ref: Your Name.
Cash & Bank deposits (complete the form and submit without CC payment)
Initial Consultation & Assessment 45 min - 1 person $150 45 min - 2 people $170 45 min - 3 people $190COMPULSORY for first time clients (includes physical training session).
45 minTraining Sessions 45 min PT (one person) - $100 (Mon-Fri) 45 min PT (two people) - $120 (Mon-Fri) 45 min PT (three people) - $140 (Mon-Fri) 45 min PT (one person) - $120 (Sat) 45 min PT (two person) - $140 (Sat) 45 min PT (three people) - $160 (Sat) You MUST complete the initial consultation & assessment before purchasing the discount sessions.
Multiple DiscountTraining Sessions (Pre Paid Only) 5 x 45 min PT (one person) - $475 (Mon-Fri) 10 x 45 min PT (one person) - $900 (Mon-Fri) 5 x 45 min PT (one person) - $575 (Sat) 10 x 45 min PT (one person) - $1100 (Sat) Extra person x 5 - $100 Extra person x 10 - $200 2 Extra people x 10 - $400You MUST complete the initial consultation & assessment before purchasing the discount sessions.
Shop Sprinting Fast T-shirt Medium Size (6-8) Sprinting Fast T-shirt Large Size (10-12) Sprinting Fast Shoe Bag$25. Pick up at the session. View sizing guide here: https://sprintingfast.com/holiday-clinic/
CommentsYou may include a preferred time slot and date.
Any medical conditions?
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 for promotional and coaching purposes.
Does your requested PT session fall on a Public Holiday? YesCost is an extra $20