Application for Private Lessons

Application for Private Lessons

This questionnaire is to find out if we would make a good match.
Name

First NameLast Name
Email (this is how I will respond to you)
example@example.com
Are you wanting in-person sessions in Satellite Beach, FL or virtual sessions via ZOOM?
*** THE IN-PERSON STUDIO IS ON THE SECOND FLOOR AND REQUIRES YOU TO USE STAIRS.***
What made you want to inquire about private lessons?
What are your goals and interests for your sessions?
What days and times work for you?
Are you wanting 25 minute sessions ($46 / session) or 50 minute sessions ($78/ session)?
How many lessons a week are you wanting?
What is your current fitness level and what exercise do you currently do?
Please list any injuries, illnesses or setbacks you've had within the last 10 years.
What is your preferred start date?
Are you willing to have your credit card kept on file for late cancel charges? (We have a 24 hour last cancel policy. You must cancel within 24 hours to avoid being charged. You get 2 freebies a year to use however you'd like.)
Are you willing to wear socks at all times in the studio? We recommend grippy socks but it's not required. Any socks will do.
Thank you for your interest in private lessons at Pilates Blended, LLC.

You will receive an email within 48hrs how to proceed.
Should be Empty: