Find My Balance Mentoring
Booking details
Name
First Name
Last Name
Age
Email
example@example.com
Are you under 18 years of age?
Yes
No
Please confirm your parent/guardian name and email address:
First Name
Last Name
Parent/Guardian email
example@example.com
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Mentoring & Presentation booking details:
Face-To-Face or Online?
Face-To-Face
Online
Please select your preferred booking:
1:1 mentoring (30mins)
1:1 mentoring x 5 sessions (30mins)
1:1 mentoring (60mins)
1:1 mentoring x 5 sessions (60mins)
Small groups < 10 people (60mins)
Large groups > 10 people (60mins)
Parent group < 20 (60mins)
5 x sessions group (60mins)
10 x sessions group (60mins)
Please list below, 3 preferred days and times for your session/s and we will aim to match these times the best we can?
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Topics you would like to discuss during your session/s?
Select from the below topics what you would like to discuss with Ash or Steph:
Goal Setting / Resilience / Managing stress
Balancing life and sport
Talking all things Olympics
General Gymnastics tips and tricks
Body Confidence & Body Image
Exercise Rehabilitation
Overcoming fear
Other
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More details:
In a few words, please explain what you would like to achieve out of your session/s with Steph and Ash:
If you or your athletes/students attending this session participate in sport, please state which sport you/your group participate in:
What level of competition do you/your group compete in?:
Recreational
Pre-Elite
State level
National level
International level
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Parent / Guardian consent
Please note: All sessions will be recorded by your mentor to ensure safety and privacy of the mentee and mentor. The recordings will not be shared with anyone unless for a discussion point with the mentee for reflection and progress and/or if there is any reason by law to share the recordings. Do you agree to your session/s being recorded?
Yes
No
If you are U/18 years of age, a summary of 5 main points of each session will be sent your parents/guardians email address within 24hrs after the session.
If you agree to the above, please type your name in the box below.
If you are under 18, please ensure your parent/guardian has accepted the above conditions and types their name in the box below.
Date
-
Month
-
Day
Year
Date
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