Pilates at Kate's Welcome Form

Please complete before your first class

First Name

Last Name

Email Address

Date of Birth

Do you have any experience of Pilates? Tell me more below! *

Absolutely none

Only a little - a few classes or a while ago

Yes lots!

Tell me about any issues that may affect your movement

Any back issues, current or historic

Pain or limited movement in joints

Arthritis or osteoporosis

Asthma or allergies

Current or recent pregnancy

Hearing or balance issues

Chest pains or dizzy spells

Heart disease, blood pressure or stroke

Any other debilitating illness or injury

Please explain more

Initials

Today's Date

I declare that the information I’ve provided is accurate & complete. I understand that I exercise at my own risk and agree to listen to my body and stop if anything does not feel right. I agree to contribute to the safety of the Pilates at Kate's community by following the COVID safe guidelines. I am happy to recieve updates from Pilates at Kate's by email.

Thanks for submitting your welcome form!

pilatesatkates@gmail.com

Contact Us

9 Northbrook Road Broadstone BH18 8HB

Dorset, United Kingdom

07921081481

PilatesatKates@gmail.com

Thanks! I will be in touch soon

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