Registration form

Username ^✱

Password ^✱

Repeat password ^✱

E-Mail ^✱

Telephone

Have you done Pilates before?

What would you like to get out of Pilates? ^✱

Have you ever been told you have osteoporosis or osteopenia? ^✱

Do you suffer from back or neck pain? ^✱

Have you been diagnosed as hypermobile (excessive joint mobility)? ^✱

Are you or could you be pregnant? ^✱

Have you been pregnant in the last 6 months? ^✱

Do you have high blood pressure? ^✱

Do you have low blood pressure? ^✱

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.

Antispam 1Antispam 2Antispam 3

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.