Pilates Booking Form

1
WEDNESDAY, 9.30am -10.30am. Portfields Community Centre (Please select the date or skip this question.)Pls note: There are NO CLASSES BETWEEN 19.08.2025 & 02.09.2025. Classes resume from 3rd September 2025.
Date
Year
Month
Day
2
TUESDAY, 6pm -7pm. Portfields Community Centre (Please select the date or skip this question.)
Date
Year
Month
Day
3
WEDNESDAY, 6.15pm -7.15pm. Green Park Community Centre (Please select the date or skip this question.)
Date
Day
Month
Year
4
THURSDAY, 11am -12pm. Newport Pagnell Youth Club(Please select the date or skip this question.)
Date
Year
Month
Day
5
THURSDAY 6.30pm -7.30pm. NewportPagnell Youth Club (Please select the date or skip this question.)
Date
Year
Month
Day
6
THURSDAY 7.30pm -8.30pm. NewportPagnell Youth Club (Please select the date or skip this question.)
Date
Year
Month
Day
7
FRIDAY 9.30am -10.30am. NewportPagnell Youth Club (Please select the date or skip this question.)
Date
Year
Month
Day
8
Full Name* This field is required.
First Name
Last Name
9
Your Phone Number* This field is required.
Area Code
Phone Number
10
Do you agree to pay £8 per a 1 hour session? (Bank transfer or cash in advance are accepted.)* This field is required.The session must be paid in advance. Free cancellation is by 12pm a day before the class. You will receive the booking and cancellation policy and the Informed Consent form shortly after submitting your form.
YESNO
11
Do you have any medical conditions/disabilties/injuries I should be aware of?* This field is required.
YESNO
12
If so, state your medical conditions/disabilities/injuries:
Huge
Large
Normal
Small
Ok
Ok
13
Have you done Pilates before?* This field is required.
Yes, I am experienced
Yes, but I am a beginner
Never done Pilates before
14
Are you able to bring your own mat?* This field is required.
YESNO
Should be Empty: