Pilates for Low Back (April 2025)- Registration Form

Pilates for Low Back - Booking Form

Wednesday 3rd September- 8th October 2025 (6 weeks) Longford Sports Partnership presents Pilates for Low Back @ BeWell Yoga & Pilates Studio. Wednesdays 13.00-14.00pm * Note that filing out this form does not guarantee your spot on the course. You will be contacted directly to confirm if you have secured a spot on the course or are on the waitlist. Thank you for your understanding.
Name*

First NameLast Name
Birth Date*

MonthDayYear
E-mail*
example@example.com
Mobile Number*
Note that we will be contacting you via whatsapp for most updates/communications. Thank you, BeWell.
What option would you like to book

All 6 sessions (medical card holder - complimentary)Just the first session to see if it's suitable (medical card holder - complimentary)All 6 sessions @ 20euroJust the first session to see if it's suitable @ 3 euro
If you already know you cannot make all 6 sessions please write in the dates you will miss here
Have you attended classes @ BeWell before and filled out all forms?

YesNo
Do you give BeWell/Longford Sports Partnership permission to take non invasive pictures for marketing and funding purposes?

YesNo
Cancellation

If, for whatever reason, you cannot make your class or the remainder of the course please let us know by writing a message to us (regular text message/whatsapp message) This way we can give your place to someone on the waiting list.
Should be Empty:

Pilates for Low Back - Booking Form