• Are You A Combat Coach / Combat Gym Owner? *
  Combat Coach

  Combat Gym Owner

  Both
• How long have you been coaching? *
• Do you have a facility (or access to a facility) to host groups for workshops? *
  Yes

  No
• When are you in a position to deliver the CounterPunch program to teenagers? *
  Within the next 3 months

  Within the next 6 months

  Within the next 6-12 months
• What is it about CounterPunch that you resonate with? *
• Which state of Australia would your workshops be based? *
  Please selectNew South WalesVictoriaQueenslandSouth AustraliaWestern AustraliaNorthern TerritoryI am looking to run these workshops outside of Australia
• Where would you be based exactly? *
• What's your name? *
  First Last
• What's your email? *
• What's the best phone for us to jump on a call? *