Sculpt Pilates Events Registration Form

Registration Form
Date of Event*

MonthDayYear
Date
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
City Resident*
Gender*

FemaleMale
Are you currently pregnant?*

YesNo
Will this be your first time doing Pilates?*

YesNo
Do you have any injuries or discomforts?*

YesNo
If yes, please specify.
Vibe Check

Let's match your energy for the best Pilates experience!
List some of your favorite artists and/or songs that motivate you the best!
What instructor style do you enjoy?

Tough LoveCheerleaderSpiritual GuruTechnical Educator
How did you hear about us?
Payment

Your reservation is not confirmed until payment is received.
Please Venmo @Nadia-Sculpt with your First Name, Last Name and Date of the Event (MM-DD-YYYY).

Your name tag will be ready at the Check-In table on the day of the event!
Terms & Conditions

Liability Waiver (required)
Should be Empty:

Registration Form