Skip to Content
Skip to Navigation
Cancer Council WA Homepage
Donate
Call Cancer Council WA on 13 11 20
Expand Mobile Menu
Main Navigation
Cancer support
Open submenu: Cancer support
Cancer information and support services
Diagnosed with cancer
Wellbeing after cancer
Caring for or supporting someone with cancer
Children, adolescents and young adults
Facing advanced cancer
Aboriginal communities
Cancer prevention
Open submenu: Cancer prevention
Smoking and tobacco
SunSmart
Body weight
Nutrition
Physical activity
Alcohol
Screening and early diagnosis
Viruses and cancer
Workplaces and cancer
Publications and resources
About cancer
Open submenu: About cancer
What is cancer?
Types of cancer
Cancer treatments
Cancer misconceptions
Publications and resources
Research
Open submenu: Research
Funding opportunities
Our funding strategy
Supporting research
Successful funding
Clinical trials
Research news
Get involved
Open submenu: Get involved
Adopt a room
Buy a raffle ticket
Corporate partnerships
Fundraise
Give in memory
Leave a gift in your Will
Regular giving
Volunteer
Event calendar
Community stories
Share your story
Secondary Navigation
Health professionals
Open submenu: Health professionals
General practice
Allied health professionals
Aboriginal health professionals
Oncology health professionals
Palliative and Supportive Care Education
Resources for health professionals
Health professional referral form
Contact us
Subscribe to eNewsletter
How we help
Open submenu: How we help
Our vision, purpose and values
Our history
Our people
Our highlights and financial statements
Aboriginal communities
Policy and advocacy
Event calendar
News
Shop
Careers
Search this website (mobile)
Submit Search this website (mobile)
Call for Information & Support
13 11 20
Next Available Sep 23 at 9am
Search
Submit Search
Accessibility
Afrikaans
Albanian
Amharic
Arabic
Armenian
Assamese
Aymara
Azerbaijani
Bambara
Basque
Belarusian
Bengali
Bhojpuri
Bosnian
Bulgarian
Catalan
Cebuano
Chichewa
Chinese Simplified
Chinese Traditional
Corsican
Croatian
Czech
Danish
Dhivehi
Dogri
Dutch
English - GB
English - US
Esperanto
Estonian
Ewe
Filipino
Finnish
French - Canadian
French - Europe
Frisian (West)
Galician
Georgian
German
Greek
Guarani
Gujarati
Haitian Creole
Hausa
Hawaiian
Hebrew
Hindi
Hmong
Hungarian
Icelandic
Igbo
Ilocano
Indonesian
Irish (Gaelic)
Italian
Japanese
Javanese
Kannada
Kazakh
Khmer
Konkani
Korean
Krio
Kurdish
Kurdish (Sorani)
Kyrgyz
Lao
Latin
Latvian
Lingala
Lithuanian
Luganda
Luxembourgish
Macedonian
Maithili
Malagasy
Malay
Malayalam
Maltese
Maori
Marathi
Meiteilon (Manipuri)
Mizo
Mongolian
Myanmar (Burmese)
Nepali
Norwegian
Oromo
Pashto
Persian (Farsi)
Polish
Portuguese
Punjabi
Quechua
Romanian
Russian
Samoan
Sanskrit
Scots Gaelic
Sepedi (Pedi)
Serbian
Sesotho
Shona
Sindhi
Sinhala (සිංහල)
Slovak (slovenÄina)
Slovenian (slovenÅ¡Äina)
Somali (af Soomaali)
español - Europe
español - US
Sundanese (Basa Sunda)
Swahili (Kiswahili)
Swedish (svenska)
Tajik (тоҷики)
Tamil (தமிழà¯)
Telugu (తెలà±à°—à±)
Thai (ภาษาไทย)
Tigrinya (ትáŒáˆáŠ› tÉ™gÉ™rəña)
Tsonga (xiTsonga)
Turkish (Türkçe)
Twi (Akan)
Ukrainian (УкраїнÑька)
Urdu
Uzbek
Vietnamese
Welsh (Cymraeg)
Xhosa
Yiddish
Yoruba
Zulu
Language
Health professionals
Call Cancer Council WA on
13 11 20
Next Available Sep 23 at 9am
Expand Secondary Menu
Secondary Navigation
Health professionals
General practice
Allied health professionals
Aboriginal health professionals
Oncology health professionals
Palliative and Supportive Care Education
Resources for health professionals
Health professional referral form
Contact us
Subscribe to eNewsletter
How we help
Our vision, purpose and values
Our history
Our people
Our highlights and financial statements
Aboriginal communities
Policy and advocacy
Event calendar
News
Shop
Careers
Donate
Breadcrumbs
Home
Life Now wait list
Scroll to current breadcrumb (2)
Life Now wait list
13 11 20
Next Available Sep 23 at 9am
"
*
" indicates required fields
Life Now wait list
Please select the course you would like to be waitlisted for:
*
Mindfulness
Tai Chi
Yoga
Please select which Exercise course you would like to be waitlisted for:
*
BENTLEY Exercise: Mondays & Wednesdays, 11:00am-12:00pm (1hr), 29 July - 21 October
BUNBURY Exercise: Mondays & Wednesdays, 12:30pm-1:00pm (1hr), 29 July - 21 October
COMO Exercise: Mondays & Wednesdays, 11:00am-12:00pm (1hr), 29 July - 21 October
FLOREAT Exercise: Tuesdays & Thursdays, 12:00pm - 1:00pm (1hr), 30 July - 17 October
JOONDALUP Exercise: Mondays & Fridays, 1:30pm-2:30pm (1hr), 19 August - 11 November
JOONDALUP Exercise (bone metastases) : Mondays & Fridays, 1:30pm-2:30pm, 19 August - 11 November
MANDURAH Exercise: Tuesdays & Thursdays, 2:00pm - 3:00pm (1hr), 30 July - 17 October
MIDLAND Exercise: Tuesdays & Thursdays, 2:00pm - 3:00pm (1hr), 30 July - 17 October
Please select which Meditation course you would like to be waitlisted for:
*
NARROGIN Meditation: Wednesdays, 1:00pm - 2:00pm (1hr) 31 July - 4 September
SHENTON PARK Meditation: Wednesdays, 10:00am - 11:00pm (1hr) 31 July - 4 September
ONLINE Meditation: Wednesdays, 10:00am - 11:00pm (1hr) 31 July - 4 September
HILLARYS Meditation: Wednesdays, 2:00pm - 3:00pm (1hr) 31 July - 4 September
MANDURAH Meditation: Mondays, 1:00pm - 2:00pm (1hr) 29 July - 2 September
Please select which Mindful Art course you would like to be waitlisted for:
*
FALCON Mindful Art: Fridays, 10:00am – 11:30pm (1.5hr), 2 August - 6 September
OCEAN REEF Mindful Art: Tuesdays, 10:00am – 11:30pm (1.5hr), 30 July - 3 September
Please select which Mindfulness course you would like to be waitlisted for:
*
SHENTON PARK Mindfulness: Wednesdays, 10:00am – 12:00pm (2hrs), 23 October – 11 December
HILTON Mindfulness: Wednesdays, 10:00am – 12:00pm (2hrs), 23 October – 11 December
ONLINE Mindfulness: Mondays, 2:00pm – 4:00pm (2hrs), 21 October – 9 December
ROCKINGHAM Mindfulness: Mondays, 10:00am - 12:00pm (2hrs), 28 October - 16 December
Please select which Tai Chi course you would like to be waitlisted for:
*
CANNINGTON Tai Chi: Thursdays, 11:30am – 12:30pm (1hr), 24 October – 28 November
ONLINE Tai Chi: Wednesdays, 9:00am – 10:00am (1hr), 23 October – 27 November
Please select which Yoga course you would like to be waitlisted for:
*
ALBANY Yoga: Tuesdays, 11:00am – 12:00pm (1hr), 22 October – 26 November
BUNBURY Yoga: Fridays, 12:00pm – 1:00pm (1hr), 8 November – 13 December
HAMILTON HILL Yoga: Wednesdays, 11:00am – 12:00pm (1hr), 23 October – 27 November
MANDURAH Yoga: Tuesdays, 10:30am – 11:30am (1hr), 22 October – 26 November
SORRENTO Yoga: Thursdays, 10:00am – 11:00am (1hr), 24 October – 28 November
ONLINE Yoga: Tuesdays, 4:00pm – 5:00pm (1hr), 22 October – 26 November
Q: Are you the primary carer for someone who has been diagnosed with cancer within the last 2 years?
Yes
No
Course Eligibility - Exercise
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
Presence of an acute illness, in addition to the initial cancer diagnosis. Any musculoskeletal, cardiovascular, or neurological disorder that could place the participant at risk of severe injury or illness resulting from the exercise (Excluding conditions/disorders that require exercise as part of their treatment). Presence of bone metastases. Presence of Myeloma Bone Disease. Severe anaemia (Hb < 80 g/L for men and women). Neutropenia. *People with bone metastases may now apply for the Life Now Exercise Joondalup course. Participants will be required to provide the Exercise Physiologist with a radiological scan which identifies the location of the bone metastases i.e. CT/PET/Bone scan.
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
*
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Phone
*
Date of Birth
*
DD slash MM slash YYYY
We ask for your date of birth to enable us to distinguish between participants of the same name.
What is the date of your diagnosis?
*
DD slash MM slash YYYY
What is your cancer type?
*
Please provide the following details of the person you are primary career for
Name
*
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Date of Birth
*
MM slash DD slash YYYY
Cancer type
*
Date of Diagnosis
*
MM slash DD slash YYYY
Emergency Contact
Name
*
First
Last
Relationship
*
Phone
*
How did you hear about our Life Now courses?
*
Please Choose
Cancer Council brochure or resource
Cancer Council email
Cancer Council staff or volunteer
Cancer Council website
Friend or relative
Health Professional
Internet search (e.g. Google)
Media (e.g. newspaper, radio)
Social media (e.g. Facebook)
Other (Please specify)
Privacy Policy
*
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
.
Email
This field is for validation purposes and should be left unchanged.
For full functionality of this website, please enable JavaScript.
Your browser is outdated. For the full experience please update.