Pilates for Beginners Registration
Every Monday 6pm-7pm (no class on 23 March)
1. Full Name
*
First Name
Last Name
2. Email Address
*
example@example.com
3. Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
4. Have you done Pilates before?
*
No, I am beginner.
Yes, a little.
Yes, regularly
5. Do you have any injuries or health conditions we should know about?
*
No.
Yes, please specify:
6. Which age range do you belong to?
Please Select
☐ Under 18
☐ 18–34
☐ 35–54
☐ 55–74
☐ 75+
Optional, for programme planning purposes only.
7. I confirm that I am participating at my own risk and will follow the instructor’s guidance.
*
Yes
8. I agree to be contacted regarding this program.
*
Yes.
9. Photo / Video Consent
*
I am happy to appear in photos/videos.
I do NOT wish to appear in photos/videos.
10. Comments / Questions:
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