***Applications for trial sessions closed until 1 December 2020***
Complete this application form to apply for a 30 minute trial session with Spectrum Fitness and Wellbeing. The investment for a trial session is $65.
Email address *
Your name *
Your phone number *
I work with children aged 5-18 years. Is your child within this age range? *
Your child's name *
What music does your child like? *
What characters / movies / TV shows etc. does your child like? *
Will you be using NDIS funding to pay for your child's coaching? If so please note that you must be Self-managed. *
The minimum fortnightly investment for in-person coaching is $120. Is this within your budget? *
I confirm that my child does not have a history of violence with therapists, carers and / or teachers. *
Required
I confirm I agree to the terms and conditions listed at http://www.spectrumfw.com/terms-and-conditions. *
Required
Please complete the Child Pre-Exercise Screening Tool at http://www.spectrumfw.com/wp-content/uploads/2020/09/Pre-Exercise-Screening-and-Agreement_SPECTRUM-2020.pdf and bring to your child's trial session. *
Required
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