Get Started — Pathfinder Sports Consultancy

BASIC INFORMATION

Name of the person completing this form

First Name

Last Name

Relation to Client

Name of Child / Client

First Name

Last Name

Phone

(###)

###

####

Residential Suburb

Age of Client

Gender

Disability (if known/applicable)

Please list any modified equipment or aids (e.g., wheelchair, splint, hearing aids, support worker), that you require to participate in sport:

Do you have any health conditions that may be pose a risk during exercise (e.g., heart conditions, epilepsy, asthma, dizziness/fainting)?

NDIS INFORMATION

In Reference to NDIS, I am:

Please select 'None of the Above' if N/A

Are you happy to share your NDIS plan upon booking?

Yes

N/A

OUR SERVICE

Questions in this section are optional

Which package do you wish to book

My goal in sport is to:

My reason for participating in sport is to:

Enquiry Form

Please complete all questions below & we will be in touch to confirm your first consultation meeting.

Your privacy is important to us. All information shared is confidential. It may be necessary to share some information about you to other individuals & organisations to allow us to deliver our services to you. This may include your disability, age & gender, but we can do this whilst keeping your identity private.

We can’t wait to work with you!

Enquiry Form

PATHFINDER SPORTS CONSULTANCY