Cage and Suit Therapy Form

PediaSuit and Therapy Cage

Complete this form so that we can register your interest...

Last name

First name

Clinic, Company or Business Name

Email

Position

Phone Number

Address (Street)

Address (Suburb)

Address (Post Code)

Do You Have Or Offer Cage Therapy In Your Cinic Now...

Yes

No

Other

I am interested in knowing more about...

A Cage Therapy System For Our Clinic

Cage Therapy Accessories and Equipment

PediaSuit Cage Therapy Training

Other

I would like to attend the PediaSuit training scheduled for...

AUS - Sydney NSW - Basic Course - July 25th to 28th 2025.

NZ - Christchurch - Basic Course - September 27th to 30th.

NZ - Christchurch - Baby Bourse - October 1st and 2nd.

Would you like to be updated on future "PediaSuit" and Cage Therapy Training Sessions...

Yes Let Me Know About Future Training Sessions

Yes We Would Like To Know More About Hosting Training in Our Clinic

I would like to know more about Finance Options...

Yes

No

Any other comments or questions you may have...

Yes, subscribe me to your newsletter.