Pilates Class Registration

Pilates Class Registration
Please only schedule using this form if you have attended a class with us previously.

If you have not attended a class with CIMC previously, please schedule via the following link instead: https://form.jotform.com/222965350409155
Please select a class.
Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Additional notes:
PAYMENT INFORMATION

Once registration is submitted, you will receive an email for payment.

CLASS SIZE IS LIMITED TO 6 PARTICIPANTS.

SINGLE CLASS	$30
PRIVATE SESSION	$80
10 CLASSES	$250
20 CLASSES	$500
12 MONTHS UNLIMITED CLASSES	$3680

*INTRODUCTORY SPECIAL

10% off of every class scheduled for the first month.

PLEASE NOTE: Clark Integrated Medical Clinics operates on a scheduled hourly appointment bases. Therefore, when cancelling an appointment for pilates, you are required to provide move than a 24 hour notice, for which no additional levy shall be incurred. However, if a participant is to cancel a session LESS than 24 hours to the scheduled time or no-show a class, they shall be charged the cancellation fee of $15.

Should be Empty:

Pilates Class Registration

Please only schedule using this form if you have attended a class with us previously.

Contact Information

PAYMENT INFORMATION