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07735321013
fithealthyhappytotnes@gmail.com
Fit Healthy Happy
Pilates with Sasha
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What is pilates?
What’s on offer
Timetable & prices
Register / Contact
Home
What is pilates?
What’s on offer
Timetable & prices
Register / Contact
Registration form
"
*
" indicates required fields
Email address
*
Telephone
Name
*
First
Last
Have you done Pilates before?
*
Yes
No
What would you like to get out of Pilates?
Have you ever been told you have osteoporosis or osteopenia?
*
Yes
No
Do you suffer from back or neck pain?
*
Yes
No
Have you been diagnosed as hypermobile (excessive joint mobility)?
*
Yes
No
Are you or could you be pregnant?
*
Yes
No
Have you been pregnant in the last 6 months?
*
Yes
No
Do you have high blood pressure?
*
Yes
No
Do you have low blood pressure?
*
Yes
No
Please give further relevant details to any questions ticked yes or any other health issues not mentioned above that may affect your ability to exercise.
Emergency contact name
Emergency contact telephone no
I confirm that I have read and understood this document and that the answers I have given are to the best of my knowledge correct
*
Yes
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