Medical Form

First name

Last name

Email

Phone

Birthday

Day

Month

Year

Address

Emergency contact Name & Relation

Emergency Phone number

Have you done Pilates before?

Are you Pregnant or Post-Partum? - If Yes then please let me know how many months pregnant you are/ how long ago you gave birth and method of delivery. Please Specify any rehab needs you may have :)

I confirm I have not being advised against exercising by a medical professional

I agree to let the instructor know if I develop any new medical needs that may affect my ability to safely participate in the class

I confirm I can get on and off the floor safely without assistance.

I confirm I have read and agree to the cancellation policy