Classes - Application form

To participate in one of our classes, complete this form and click 'submit' at the bottom of the form

You can also print out this application form and bring it to your first class.

Central Coast Body Mechanics, 37 Althorp St, East Gosford NSW 2250

Full Name(*)
Please type your full name.

Address
Invalid Input

Phone(*)
Invalid Input

E-mail(*)
Invalid email address.

Occupation
Invalid Input

Age
Invalid Input

Class you’d like to attend: Time:(*)
Invalid Input

Class you’d like to attend: Day(*)
Invalid Input

What would you like to get out of these classes?
Invalid Input

Please list any health / medical issues or concerns
Invalid Input

I will bring full payment of $140 to my first class(*)
Invalid Input

I agree to take full responsibility for myself during classes(*)
Invalid Input

  

Testimonials

"Tim is the only health practitioner who has given me more than just minor relief for my degenerative spinal injury. He has provided meaningful assistance that has given immediate benefit and promoted recovery, and provided me with exercises to improve core strength…

Read more

"Tim was recommended to my husband and I by a family member. Now we've recommended him to others who've also been really happy with the results they've had from seeing him. Tim is quite intuitive in how he treats people and treats…

Read more

"Tim gets great results, is punctual and offers a really professional service in a lovely, relaxing environment. After seeing many therapists over the years, it was important for me as a woman to find someone I felt really comfortable with. I've definitely…

Read more

"I have back and shoulder problems as a result of heavy trauma in the military and police, and needed to find someone to help me beyond what a physiotherapist could do. Tim has a very good understanding of the human body and…

Read more

"I am a runner and triathlete and originally saw Tim for a hamstring injury. I'd had it for a year and had been through all the conventional medical treatments without any relief. Within a couple of weeks of seeing Tim, I was…

Read more

"My work-related anxiety was getting so bad that I thought I might have to give up work. Thanks to Tim and the acupuncture and energy work he did on me, I am still happily doing my job."

Read more

"I saw Tim when I was chronically ill with glandular fever. His combination of massage and acupuncture, combined with his knowledge of the energy systems of the body was a major contributor to my body starting to heal. He also help me…

Read more

Acupuncture

Massage

Stretch Therapy