Pilates With Ari.
For first booking, please fill all fields.
Available Bookings
*
GROUP MAT BOOKING: Please specify how many are attending. One participant can fill required fields below, and consent form by all participants can be signed on the day. The person booking will pay for all attendees.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
Emergency Contact (name + phone number)
Medical History - Please tick any that apply.
Postnatal (please specify week/month number in next answer)
Back pain / disc injury
Neck pain / whiplash
Joint replacement (please specify)
Joint pain (shoulder / hip / knee / ankle)
Recent surgery (please specify)
Cardiovascular condition (high BP, heart condition)
Respiratory condition (asthma, COPD)
Neurological condition (stroke, MS, Parkinson’s)
Diabetes
Other medical conditions (please list)
If you ticked any of the above, please provide details
Are you currently exercising?
yes
no
If yes, what type & how often?
Do you have any current injuries or areas of discomfort?
Are there movements or positions that cause you pain or discomfort?
Are you under the care of a healthcare provider?
yes
no
If yes, please provide details.
Goals & Expectations
*
Build strength
Improve flexibility
Posture correction
Injury prevention / rehab
Improve balance & control
Reduce pain / manage condition
Stress relief / relaxation
Sport specific (outline which sport, and specific goals in next answer)
Other (specify in next answer)
If you clicked 'other', or 'sport specific', please specify here.
I understand that sessions are strictly by appointment only.
*
yes
Cancellation & Reschedule Acknowledgment
*
I acknowledge and agree to the 12-hour cancellation and reschedule policy and understand that late cancellations incur a 50% fee.
Waiver
*
I hereby waive, release, and discharge the instructor from any and all liability, claims, demands, or causes of action related to personal injury, illness, or property loss that may arise from participation in Pilates sessions, except in cases of gross negligence or willful misconduct.
Consent & Agreement
*
I understand that Pilates exercises involve physical activity and that I am responsible for notifying the instructor of any changes in my health status.
I have disclosed all relevant medical information to the best of my knowledge.
I agree to participate at my own risk and follow instructor guidance.
I understand that I will be voluntarily attending a physical activity session with full knowledge there is a risk of personal injury, property loss or death and has agreed that neither them, nor their heir or legal representatives will sue or make any claims against 'Pilates with Ari'.
By signing below, I confirm that I have read, understood, and agree to the above terms.
*
Class Options & Payment
prev
next
( X )
Private Reformer Class
$90.00 AUD
$
90.00
AUD
Private Mat Class
$80.00 AUD
$
80.00
AUD
2 Person Group Mat Class
$140.00 AUD
$
140.00
AUD
3 Person Group Mat Class
$210.00 AUD
$
210.00
AUD
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