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Life Now exercise and meditative courses
- Life Now course application

13 11 20 Next Available Feb 10 at 9am

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Home
Cancer support
Cancer information and support services
Emotional and physical wellbeing
Life Now exercise and meditative courses
Life Now course application

Life Now course application

13 11 20 Next Available Feb 10 at 9am

Course Selection

For details of all courses currently available, please see our calendar of Life Now courses.

If you have attended one exercise, mindfulness or mindful art course, three or more yoga, meditation and tai chi, or have been diagnosed more than 5 years ago, please join our waitlist.

To receive course updates, please subscribe to the Life Now mailing list by emailing lifenow@cancerwa.asn.au.

"*" indicates required fields

Please select the course you would like to participate in:*

Exercise

Meditation

Mindful Art

Mindfulness

Tai Chi

Yoga

Choose your preferred Exercise course*

BUNBURY Exercise: Mondays & Wednesdays, 12:30pm-1:00pm (1hr), 3 February - 30 April

COMO Exercise: Mondays & Wednesdays, 11:00am-12:00pm (1hr), 3 February - 30 April

FLOREAT Exercise: Tuesdays & Thursdays, 12:00pm - 1:00pm (1hr), 4 March - 22 May

MANDURAH Exercise: Tuesdays & Thursdays, 2:00pm - 3:00pm (1hr), 4 February - 24 April

Choose your preferred Meditation course*

NARROGIN Meditation: Wednesdays, 2:00pm - 3:00pm (1hr) 19 February - 26 March

HARRISDALE Meditation: Wednesdays, 10:00am - 11:00am (1hr) 12 February - 19 March

HILLARYS Meditation: Wednesdays, 2:00pm - 3:00pm (1hr) 12 February - 19 March

ONLINE Meditation: Tuesdays, 11:00am - 12:00pm (1hr) 14 January - 18 February

ONLINE Meditation: Thursdays, 10:00am - 11:00pm (1hr) 6 February - 13 March

Choose your preferred Mindful Art course*

FALCON Mindful Art: Fridays, 10:30am-12:00pm (1.5hr), 17 January – 21 February

MERRIWA Mindful Art: Fridays, 1:30Pm – 3:00pm (1.5hr), 7 February - 14 March

Choose your preferred Mindfulness course*

BUSSELTON Mindfulness: Thursdays, 9:30am – 11:30am (2hrs) 20 February – 10 April

HILTON Mindfulness: Wednesdays, 10:00am – 12:00pm (2hrs), 5 February - 26 March

ONLINE Mindfulness: Thursdays, 2:00pm – 4:00pm (2hrs), 20 February - 10 April

Choose your preferred Tai Chi course*

ONLINE Tai Chi: Wednesdays, 9:00am – 10:00am (1hr), 5 February - 12 March

KARAWARA Tai Chi: Thursdays, 11:00am – 12:00pm (1hr), 6 February - 13 March

ONLINE Tai Chi: Wednesdays, 6:00pm – 7:00pm (1hr), 19 February - 26 March

KARAWARA Tai Chi: Thursdays, 6:00pm – 7:00pm (1hr), 20 February - 27 March

Choose your preferred Yoga course*

HAMILTON HILL Yoga: Wednesdays, 11:00am – 12:00pm (1hr), 15 January - 19 February

ONLINE Yoga: Thursdays, 10:00am – 11:00am (1hr), 16 January - 20 February

ONLINE Yoga: Thursdays, 5:00pm – 6:00pm (1hr), 30 January - 6 March

SHENTON PARK Yoga: Tuesdays, 4:00pm – 5:00pm (1hr), 18 February - 25 March

SORRENTO Yoga: Thursdays, 10:00am – 11:00am (1hr), 16 January - 20 February

ALBANY Yoga: Tuesdays, 11:00am – 12:00pm (1hr), 18 February - 25 March

GERALDTON Yoga: Wednesdays, 12:00pm – 1:00pm (1hr), 19 February - 26 March

Course Eligibility - Yoga

Q: Have you already participated in three terms of Life Now Yoga?*

Yes

If you have previously participated in 3 or more Life Now Yoga courses, please apply for a waitlist position.

Q: Have you been diagnosed with cancer or had a change to your cancer diagnosis within the last five years?*

Yes

Q: Are you the primary carer for someone who has been diagnosed with cancer within the last five years?*

Yes

Thank you for your interest in our Life Now Yoga course. If you have been diagnosed with cancer more than five years ago, and would like to participate, please apply to be waitlisted for this course. If there is capacity, we will contact you to participate. Please note that we only offer Life Now Yoga to West Australians diagnosed with cancer and their primary carer.

Course Eligibility - Tai Chi

Q: Have you already participated in three terms of Life Now Tai Chi?*

Yes

If you have previously participated in 3 or more Life Now Tai Chi courses, please apply for a waitlist position.

Q: Have you been diagnosed with cancer or had a change to your cancer diagnosis within the last five years?*

Yes

Q: Are you the primary carer for someone who has been diagnosed with cancer within the last five years?*

Yes

Thank you for your interest in our Life Now Tai Chi course. If you have been diagnosed with cancer more than five years ago, and would like to participate, please apply to be waitlisted for this course. If there is capacity, we will contact you to participate. Please note that we only offer Life Now Tai Chi to West Australians diagnosed with cancer and their primary carer.

Course Eligibility - Mindful Art

Q: Have you participated in Life Now Mindful Art course previously?

Yes

If you have previously participated in one or more Life Now Mindful Art courses, please apply for a waitlist position.

Q: Have you been diagnosed with cancer or had a change to your cancer diagnosis within the last five years?*

Yes

Q: Are you the primary carer for someone who has been diagnosed with cancer within the last five years?*

Yes

Thank you for your interest in our Life Now Mindful Art courses. If you have been diagnosed with cancer more than five years ago, and would like to participate, please apply to be waitlisted for this course. If there is capacity, we will contact you to participate. Please note that we only offer Life Now Mindfulness and Mindful Art to West Australians diagnosed with cancer and their primary carer.

Course Eligibility - Mindfulness

Q: Have you participated in Life Now Mindfulness course previously?

Yes

If you have previously participated in one or more Life Now Minfulness courses, please apply for a waitlist position.

Q: Have you been diagnosed with cancer or had a change to your cancer diagnosis within the last five years?*

Yes

Q: Are you the primary carer for someone who has been diagnosed with cancer within the last five years?*

Yes

Thank you for your interest in our Life Now Mindfulness courses. If you have been diagnosed with cancer more than five years ago, and would like to participate, please apply to be waitlisted for this course. If there is capacity, we will contact you to participate. Please note that we only offer Life Now Mindfulness and Mindful Art to West Australians diagnosed with cancer and their primary carer.

Course Eligibility - Meditation

Q: Have you participated in three Life Now Meditation courses previously?

Yes

If you have previously participated in 3 or more Life Now Meditation courses, please apply for a waitlist position.

Q: Have you been diagnosed with cancer or had a change to your cancer diagnosis within the last five years?*

Yes

Q: Are you the primary carer for someone who has been diagnosed with cancer within the last five years?*

Yes

Thank you for your interest in Life Now Meditation. If you have been diagnosed with cancer more than five years ago, and would like to participate, please apply to be waitlisted for this course. If there is capacity, we will contact you to participate. Please note that we only offer Life Now Meditation to West Australians diagnosed with cancer and their primary carer.

Have you participated in a Life Now Exercise course before?*

Yes

If you have previously participated in one or more Life Now Exercise courses, please apply for a waitlist position.

Q: Are you able to commit to participating in all or most of the 12-week (24 class) course?*

Yes

Thank you for your interest in participating in a Life Now course. As we are able to offer Life Now Exercise once per participant only, we encourage you to apply at a time you are able to attend the majority of the course. Please consider applying for another Life Now course type or call our 13 11 20 Information and Support Line for further information and support.

Q: Have you either been diagnosed with cancer or undergone cancer treatment in the last 2 years?*

Yes

Q: Are you the primary carer for someone who has been diagnosed with cancer within the last 2 years?*

Yes

Thank you for your interest in our Life Now Exercise course. If you have been diagnosed with cancer or undergone treatment more than two years ago, and would like to participate, please apply to be waitlisted for this course. If there is capacity, we will contact you to participate. Please note that we only offer Life Now Exercise to West Australians diagnosed with cancer and their primary carer.

Q: Individuals with any of the following health conditions are not eligible to participate in the Life Now Exercise program:*

I have read the health-related eligibility criteria and confirm that I am able to seek medical clearance to participate in the Exercise course

• Any musculoskeletal, cardiovascular or neurological disorder or acute illness that could place the participant at risk of injury. • Presence of myeloma bone disease • Severe anemia (Hb < 80 g/L for men and women) • Neutropenia.

Q: Before the course starts, it is essential that each participant completes the forms provided in the Exercise Participant Pack and attends an initial assessment with the Accredited Exercise Physiologist facilitating the course (fee applies).*

I am aware of the pre-course requirements and can commit to completing them before the course commences.

Registrant Information

Name*

Prefix First Last

Address*

Street Address Address Line 2 City State / Province ZIP / Postcode

Email*

Phone*

Date of Birth*

DD slash MM slash YYYY

We ask for your date of birth to enable us to distinguish between registrations of the same name.

Health History - Patient

What is the date of your diagnosis?*

DD slash MM slash YYYY

What is your cancer type?*

Have you recently had treatment?*

Yes

Please tick as many as apply*

Chemotherapy

Radiotherapy

Immunotherapy

Surgery

Other

Will this affect your participation during class?

Yes

Please detail how your recent treatment might affect your ability to participate*

Has cancer spread to any other part of your body?*

Yes

Please detail where cancer has spread within the body*

Do you have any health concerns that your facilitator needs to know about, or which might impact your ability to practice comfortably, safely and without injury?*

Yes

Please tick as many as apply

Heart problems/ heart attack

Shortness of breath/ asthma

High/ low blood pressure

Diabetes

Pregnancy/ possibly pregnant

Depression &/or anxiety

Memory loss/ confusion

Mobility problems/ falls

Have you had recent surgery?

Stroke/ TIA

Blood disorders/ blood clots

Fits, convulsions/ blackouts

Fainting or dizziness

Low vision

Hearing impairment

Do you have any other health issues or limitations that we should be aware of?

Yes

Please detail any relevant health issues or limitations*

Health History - Carer

Do you have any health concerns that your facilitator needs to know about, or which might impact your ability to practice comfortably, safely and without injury?*

Yes

Please tick as many as apply*

Heart problems/ heart attack

Shortness of breath/ asthma

High/ low blood pressure

Diabetes

Pregnancy/ possibly pregnant

Depression &/or anxiety

Memory loss/ confusion

Mobility problems/ falls

Have you had recent surgery?

Stroke/ TIA

Blood disorders/ blood clots

Fits, convulsions/ blackouts

Fainting or dizziness

Low vision

Hearing impairment

Do you have any other health issues or limitations that we should be aware of?*

Yes

Please detail any relevant health issues or limitations*

Please provide the following details of the person you are primary career for

Name*

Prefix First Last

Date of Birth*

MM slash DD slash YYYY

Cancer Type*

Date of Diagnosis*

DD slash MM slash YYYY

Emergency Contact

Name*

First Last

Relationship*

Phone*

How did you hear about our Life Now courses?*

I understand that a member of the Life Now team will be in touch with me to discuss or confirm my application in accordance with the Cancer Council WA Privacy Policy.*

Comments

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