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First Name

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Check All That Apply

Poor posture in general (hunched etc)

Upper Crossed Syndrome

Winged Scapula

Shoulder Impingement Syndrome

Thoracic Outlet Syndrome

Flat Feet

Sciatica

Knock Knee (Knees caving in)

Bowed Legs

IT Band Syndrome

Lumbar Lordosis

Anterior Pelic Tilt

Posterior Pelvic Tilt

Knee Pain

Back Pain

Terms & Conditions *

By submitting this application, you state that the above information is correct to the best of your knowledge and that in consideration of your participation in this project of physical training and treatment, you for yourself, your personal representatives, administrators, heirs and assigns, hereby holds harmless, ONI or any affiliated ONI Instructor/Staff/Student from any claims arising from your participation in the physical training or treatments. Photos or videos may be taken during the project for both measurements of progress and for marketing materials for ONI. We may also write a case report detailing the treatment plans and sessions of this project. By participating in this project you state that you have given us your permission to do so. It is advised that you consult your Doctor/GP/Physician before beginning any physical training/treatment program.

I agree to the above Terms & Conditions