Private Training with Paul Edmiston

Private Training with Paul Edmiston
Participant Name*

First NameLast Name
Gender*

MaleFemale
Year of Birth*
Second Participant Name

First NameLast Name
Gender

MaleFemale
Year of Birth
Third Participant Name

First NameLast Name
Gender

MaleFemale
Year of Birth
Name of Parent or Guardian (for under 18yo)

First NameLast Name
Mobile Number*
Please enter a valid mobile number.
Email*
example@example.com
Sport

AFLAFLWAthleticsBasketballCricketCross fitHockeyNetballRugbySoccerSurf LifesavingTennisOther
Day & Time*

Friday 13th Sept 5.15pm-6.00pmSaturday 14th Sept 5.00pm-5.45pmSaturday 14th Sept 5.45pm-6.30pmTuesday 17th Sept 5.00pm-5.45pmTuesday 17th Sept 5.45pm-6.30pmThursday 19th Sept 2.45pm-3.30pmFriday 20th Sept 5.15pm-6.00pmSaturday 21st Sept 8.45am-9.30amTuesday 24th Sept 3.30pm-4.15pmTuesday 24th Sept 5.00pm-5.45pmTuesday 24th Sept 5.45pm-6.30pmFriday 27th Sept 5.15pm-6.00pmSaturday 28th Sept 5.00pm-5.45pmThursday 3rd Oct 2.45pm-3.30pmThursday 3rd Oct 5.45pm-6.30pmFriday 4th Oct 5.15pm-6.00pmSaturday 5th Oct 8.45am-9.30amTuesday 8th Oct 2.45pm-3.30pmTuesday 8th Oct 3.30pm-4.15pmTuesday 8th Oct 5.00pm-5.45pmTuesday 8th Oct 5.45pm-6.30pmWednesday 9th Oct 2.45pm-3.30pmThursday 10th Oct 2.45pm-3.30pmThursday 10th Oct 5.45pm-6.30pmFriday 11th Oct 5.15pm-6.00pmTuesday 15th Oct 2.45pm-3.30pmTuesday 15th Oct 3.30pm-4.15pmTuesday 15th Oct 5.00pm-5.45pmTuesday 16th Oct 5.45pm-6.30pmWednesday 16th Oct 2.45pm-3.30pmThursday 17th Oct 2.45pm-3.30pmThursday 17th Oct 5.45pm-6.30pmFriday 18th Oct 5.15pm-6.00pmSaturday 19th Oct 8.45am-9.30amSaturday 19th Oct 5.00pm-5.45pm
Event*

Sprints in general100m200m400m800m1500m60m hurdles80m hurdles90m hurdles100m hurdles110m hurdles200m hurdles400m hurdlesHigh Jump @WAAS (Mondays)Long JumpTriple JumpJavelinDiscusShot PutDecathlon/HeptathlonOther
Waiting List

WeekdaysSaturdayOther
Comments
Please bring game footwear with you IE. football boots, joggers or spikes (if you have them). Paul will contact you to confirm the exact location, time and date. Venue is northern suburbs of Perth (Tue-Sat) and WA Athletics Stadium (Mon).
Preferred method of contact*

SMSEmail
How did you hear about Paul?*

Social MediaInternet SearchHoliday ClinicJunior SprintsWord of MouthSchool NewsOther
Medical conditions
DISCLAIMER - 24HR CANCELLATION POLICY APPLIES. I understand that I must cancel or reschedule at least 24hours before the start of the booked PT session or I will be charge full price for that session.

I agree
Image Disclaimer - I give permission for Sprinting Fast to use my image for coaching and promotional purposes.

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Method of Payment

Cash on the dayBank Deposit (BSB: 016080 ACC: 590417278)Credit Card via PayPal below
PRICE LIST (Please check box for PayPal payment only)
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Initial Consultation & Assessment - 1 personCompulsory for first time clients includes physical session
$150.00AUD



Initial Consultation & Assessment - 2 peopleCompulsory for first time clients includes physical session
$170.00AUD



Initial Consultation & Assessment - 3 peopleCompulsory for first time clients includes physical session
$190.00AUD



45min PT - 1 person (Mon-Fri)
$100.00AUD



45min PT - 2 people (Mon-Fri)
$120.00AUD



45min PT - 3 people (Mon-Fri)
$140.00AUD



45min PT - 1 person (Sat)
$120.00AUD



45min PT - 2 people (Sat)
$140.00AUD



45min PT - 3 people (Sat)
$160.00AUD



PREPAID Discount PT 5 x 45min - 1 person (Mon-Fri)You must complete an initial consultation & assessment before purchasing discount sessions.
$475.00AUD



PREPAID Discount PT 10 x 45min - 1 person (Mon-Fri)You must complete an initial consultation & assessment before purchasing discount sessions.
$900.00AUD



PREPAID Discount PT 5 x 45min - 1 person (Sat)You must complete an initial consultation & assessment before purchasing discount sessions.
$575.00AUD



PREPAID Discount PT 10 x 45min - 1 person (Sat)You must complete an initial consultation & assessment before purchasing discount sessions.
$1,100.00AUD



1 extra person x 5 sessions
$100.00AUD



2 extra people x 5 sessions
$200.00AUD



1 extra person x 10 sessions
$200.00AUD



2 extra people x 10 sessions
$400.00AUD



T-Shirt Pick up at session. Only Medium (size 6-8) or Large (size 10-12) are available
$25.00AUD QuantitySize



Shoe BagPick up at session
$25.00AUD Quantity



Public HolidayDoes your requested PT session fall on a public holiday?
$20.00AUD



Total

$0.00AUD
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