Please name all participants and designate one person to be the liaison between myself and the group
Please give one contact number
Please write the name of each participant and their emergency contacts name, their relationship to you and their number.
Do you require a home visit? *
Travel costs are applicable
Payment method: *
Please pay as a group and not separately.
How many hours are you booking? *
For cash payments or bank transfers only. If you've bought via the website you've already chosen before paying (tick Not Applicable).
Contact preference to book the first session: *
If you prefer me to call you to book in please let me know the best times to reach you - saves us playing telephone tennis!
What sports do you do and at what levels.
Note your short and long-term goals; don't be afraid to write down anything you'd like to achieve no matter how out of reach it seems!
(e.g. cycling, walking to work, gym, classes)
Please let me know of any current or previous injuries or surgery.
How did you hear of Movementum?
Are you comfortable for any photos / videos of the group to be shared online or on social media? *
I will never post anything without first asking your permission.
Late Arrival Policy *
I request that you arrive 10 minutes prior to your first session to allow time to fill out any required paperwork and 5 minutes prior to all other sessions. I understand that issues can arise that may cause you to be late for your training sessions. However, I ask that you contact me if this ever occurs so I can do my best to accommodate you.
Cancellation Policy *
I respectfully ask that you provide me with a 24 hour notice of any schedule changes or cancellation requests. When you cancel or miss your appointment without providing a 24 hour notice I am unable to fill that appointment time. For this reason, you will be charged 50% of the service fee for the first missed session and 100% of the service fee for each session after that. I understand that emergencies can arise and illnesses do occur at inopportune times. If you have a fever, a known infection, or have experienced vomiting or diarrhoea within 24 hours prior to your appointment time, I request that you cancel your session. I will do my best to give advanced notice if I need to cancel due to bad weather and ask you do the same. Please do not risk your own safety trying to make your appointment. Late cancellation due to emergency, illness, or inclement weather will generally not result in any missed session charges, but this is determined on a case-by-case basis.
Privacy Policy *
We do not share any of your information with any third parties or profit from your personal information and data. Our Privacy Policy can be found at the bottom of each page.
Please write your name or initials of each participant in the box below. By signing this form electronically you are agreeing to the terms and conditions herein.
Date Today: *
Date Today:
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Small group coaching form

Thank you for doing the following:

• Filling in this form as a group and designating one person as a the contact point.

• Each person fills out a Par-Q form before the first session.

• Completing this form at least TWO DAYS in advance of the date of your session to allow time to prepare.

• Arriving a little bit early before the sessions to allow us to have a chat, check-in and catch up. If you arrive late, I’m unable to finish late.