client details Name * First Name Last Name Email * Phone * Country (###) ### #### Date of Birth * MM DD YYYY Gender * Female Male Are you / Attendees pregnant or post-partum * No Pregnant Post-partum If applicable, how many weeks pregnant or weeks post-partum? Have you/attendees had any surgeries, injuries or suffer from any medical condition?: * Yes No If applicable, please provide details and dates concerning injuries / surgeries / medical conditions:: What are your goals and expectations?: * Appointment Address: * INDEMNITY: You confirm that you/attendees have no disability, impairment or ailment preventing you from engaging in Pilates exercises. If you are recovering from an injury, surgical procedure or have a medical condition, you confirm that you have obtained your Healthcare Practitioner’s permission to engage in Pilates training. You confirm that you/attendees engage in Pilates training voluntarily and at your own risk. All possible precautions will be taken for your safety, however, the trainer and the company will not be held liable for any injuries or damages sustained during the program.: * I Agree CANCELLATION: Due to the nature of our service and opportunity cost involved, a 24 hour notice period is required when cancelling or rescheduling sessions. Cancelling or rescheduling with less than 24 hours notice and missed appointments will be charged for in full.: * I Agree Thank you! We will schedule your appointment shortly.
