Pilates Class Sign-Up
Register for weekly Pilates classes.
Participant Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Select Your Class Date and Time
Please Select
Tuesday 6:30 AM (May 19)
Thursday 7:00 PM (May 21)
Both dates
Level
Please Select
Beginner
Intermediate
Advanced
Payment Method and Instructions
Payment required to reserve your spot 🤍
Payment required to reserve your spot 🤍
Payment Method (Class is $15)
*
Zelle 608-974-7690
Apple Pay 608-974-7690
Cash App $pilatesbymartha
If these payment options are not available, email bymarthapilates@gmail.com
Name Used for Apple Payment
*
Zelle payment username
Cashapp payment username
4 class for 50$ option
4 class for 50$ email bymarthapilates@gmail.com
Liability Waiver
*
I understand I am participating at my own risk and confirm I am physically able to take class.
Consent Waiver for Pictures and Video
*
I consent to possible pictures and video being taken during the class and used for promotional purposes.
My Instagram link to stay updated
Additional Notes or Comments
Sign Up
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