Please post a cheque for:

$75 = 4 Week program

$105 = 8 Week program

$155 = 12 Week program

$200 = 16 week program

$250 = 20 week program

$300 = 24 Week program

$380 = 30 week program

$600 = 12 month program

Or specific amount quoted

Made out to Pat Carroll and posted to:

Please contact Pat for current postal address

I have/will deposit one of the following amounts via paypal:

$75 = 4 Week program

$105 = 8 Week program

$155 = 12 Week program

$200 = 16 week program

$250 = 20 week program

$300 = 24 Week program

$380 = 30 week program

$600 = 12 month program

Or amount quoted by Pat

For Paypal

You will be presented with instructions for accessing the paypal console after you submit this form

I have/will deposit one of the following amounts via internet banking:

$75 = 4 Week program

$105 = 8 Week program

$155 = 12 Week program

$200 = 16 week program

$250 = 20 week program

$300 = 24 Week program

$380 = 30 week program

$600 = 12 month program

Or amount quoted by Pat

For EFT (direct deposit)

Account Details:

Bank: Westpac
Account name: Pat Carroll
Account number: 193331
BSB: 034037
Reference: Surname

I acknowledge that a training program set by Pat Carroll involves strenuous cardiovascular activity and it is my sole responsibility to ensure my physical condition is not at risk by participating in such a strenuous activity.

It is necessary to have a physical exam by a physician before beginning any strenuous exercise program.

I understand the risks involved in running, walking or other fitness activities and assume personal responsibility for my health and safety while participating in this program.

I’m in proper physical condition to undertake a running program. I release Pat Carroll from any and all claims or damages arising from my participation in an individualised training program.

I also understand and accept the following responsibilities:

Pat Carroll’s Responsibilities:

• To design an individualized training program taking into consideration the runners current fitness level and future goals.
• To be continually available via email to offer advice on any running related matters.
• To reply to emails within 24 hrs (except during public holidays) and to ensure any basic questions sent via email relating to nutrition are answered with 48hrs. 

Runners Responsibilities:

• To advise Pat Carroll your progress via email. This being your results from training sessions and racing whenever applicable.
• Notify Pat Carroll when you may be in the early stages of an injury or illness so the appropriate adjustments can be made to your program.

Injury and Medical advice:
Pat Carroll is not qualified to offer advice on such matters although basic information “may” be provided.

Injury:
Ideally you’ll seek treatment from either a sports physiotherapist/a podiatrist or a massage therapist. A sports doctor will be of benefit if you have a severe injury.

Medical:
Ideally you’ll be consulting a medical practitioner for any health related issues.