Personal and Emergency Contact Details

Client Details

NEW CLIENTS:

Please complete this form as requested.

RETURNING OR ONGOING CLIENTS:

Please ensure your personal and emergency contact details are always current. Contact your Coach or Support as often as necessary to request a link to this form for updates.

Please contact support@encouragingminds.com.au if you have any questions regarding this form.


Emergency Contact Details

IMPORTANT NOTE:

Emergency Contact information will be used in case of emergency only. Please refer to the Confidentiality and Privacy terms in your Agreement or email us for further information.

Please contact support@encouragingminds.com.au if you have any questions regarding this form.