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Please fill out the WeFlex PT Match Request below:

Are you submitting this application for you or on behalf of someone else? *

For Me

For Someone Else

What is your relationship with this person you're submitting this for? *

Parent
Other Family Member
Support Coordinator
Carer
Other
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What is their first name? *

And their last name? *

What is the age of the person who requires Personal Training? *

What is the gender of the person these PT sessions are for? *

Male

Female

Other

Where would you like your sessions to be? *

Any of these locations!

At a gym

At my home

At a park

Virtual

And what is your post code? *

How many PT sessions per week are you interested in doing? *

Unsure

1-2

2+

What days would you prefer your PT session? Select all the apply *

Unsure / I don’t mind

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

And what times normally suit? Choose the slot that best fits your schedule *

Unsure / I don’t mind

Morning: 6am - 11am

Day time: 11am - 5pm

Night time: 5pm+

What is the disability of the person seeking a PT?

Autism

Intellectual Disability

Developmental Delay

Psychosocial Disability

Other

Any other unique needs we should be aware of? Please list these below?

And just to confirm, your details are:

First Name *

Last Name *

Email *

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