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Session Waitlist
Use this form to be added to the waitlist for sessions.
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* Indicates required question
Name
*
Your answer
Mobile
*
Your answer
Email
*
Your answer
Session Type Requested:
*
My First Kinesiology Session - Face to face
My Regular Kinesiology Session - 60 mins Face to face
My Extended Kinesiology Session - 90 mins Face-to-Face
My First Kinesiology Session - Online
My Regular Kinesiology Session - 60 mins Online
My Extended Kinesiology Session - 90 mins Online
My Child's First Session
My Child's Regular Session
Required
Is this session request urgent?
*
Yes
No
If Yes, please tell me more:
Your answer
My availability for sessions is:
Select as many as you can.
Choose other if you have availability limits or special needs.
Tues
Wed
Thurs
9:30am
11:30am
1:30pm
4:30pm
6:30pm
Other
Tues
Wed
Thurs
9:30am
11:30am
1:30pm
4:30pm
6:30pm
Other
If
Other
selected above:
Your answer
Thank You for getting in touch.
You have been added to the waitlist and I will be in touch as soon as a session becomes available for you.
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