Schedule A Session - Punch Therapy

Your Contact Information

Name

First Last

Email

Phone

Your Punch Therapy Session

Choose Your Session Type

15-min Consultation Call

1-on-1 Session

Group Session

Women's Punch Therapy

Schedule

Schedule Your Consultation(Required)

Schedule Your 1-on-1

Schedule Your Group

Register for a Women's Punch Therapy Session

Who is participating in the session?

I am the participant

I am scheduling the session for someone else

Participant Information

Participant's Name

First Last

Date of Birth

Gender

Participant's Health

Mental Health Check-in(Required)

Physical Health Check-in(Required)

Self-Care Check-in(Required)

Group Information

Purpose of Group Session(Required)

Group Mental Health Check-in(Required)

Group's Physical Health Check-in(Required)

Location Information

Session Location

I would like to choose the location for the session

Let Punch Therapy plan a location with me

Requested Location

Address

Street Address Address Line 2 City ZIP / Postal Code

Waiver & Disclaimer

Punch Therapy is designed to promote stress relief and physical well-being. It is not a substitute for professional medical advice or treatment. Please consult with your physician before starting any new exercise program.

Participant Waiver(Required)

I agree to the waiver

Punch Therapy is designed to promote stress relief and physical well-being. It is not a substitute for professional medical advice or treatment. Please consult with your physician before starting any new exercise program.

Payment

Session Deposit(Required)

Price:

A $50 deposit is required to book sessions. This deposit is non-refundable and will be applied to your total cost due at the date and time of the session.

Women's Punch Therapy Class Cost(Required)

Price:

Total