Registration Registration is required for all classes. Before you attend, please fill out the short form, below. Registration Your Name(Required) Email(Required) Phone(Required)I am interested in (check all that apply) Private Sessions – 1 on 1 w/ Teacher Equipment Classes – 5 student max Mat Classes – 10 student max Bodhi Suspension Training Neuro Pilates Not Sure Fitness Goals (check all that apply) Weight Loss / Toning Strength Sport Performance Balance Other Availability for Practice (check all that apply) Early Morning (5:00-7:30am) Morning (8:30-11:30am) Afternoon (12:00 – 3:30pm) Evening (4:30 – 8:30pm) How Often Do you Wish to Practice: 1 time per week 2 times per week 3 times per week 4 or more I don’t know Current Activity Level (over the past 6 months): Not Active Moderately Active (exercise 1-3 times per week) Very Active (exercise more than 3 times per week) Physical Limitations or Injuries (If yes, please describe)?If answered yes to Physical Limitations above, do you have your physician’s consent to practice Pilates?: Yes No
