STOTT Pilates Course Application Form

STOTT PILATES 2019 COURSE Registration Form

Please fill in the form below.
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Phone Number
Which Course/Workshop would you like to sign up for?

Please indicated Y or N next to the course you would like to attend
Advanced Mat December 1st 2019 11am - 6pm
Prenatal Pilates on the mat 11.30am - 1.30pm
Reformer, padded platform extender & pole. 2pm - 4pm
Reformer programming for stability function 4.30pm - 6.30pm
Costs:

Advanced Mat

Sunday December 1st 2019

Cost $600 - One day course

Workshop costs $195 each or $525 for ALL three
Type a question
Completed application form and a non refundable 20% deposit required at time of booking to guarantee spot. Balance of monies is due 21 days before start of the course.
Payment Options:
1) By EFT
(please put your name & course date as reference)
Bank. Commonwealth
BSB. 06 2099
A/c No. 10353611
A/c Name. S Wigington Fit 4 Life Pilates

2) Credit Card (contact Sarah 0416 264 737)
Payment via credit card will incur a surcharge of 1.5%

3) Payment plans available on request no extra charge. Please call to discuss.

Cancellation Policy: If the student cancels their course/workshop less than 4 weeks prior to the start date there will be no refund on monies paid. If cancelled with greater than 4 weeks notice the 20% deposit will be forfeited.

I have read and agree to the above terms and conditions:
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STOTT PILATES 2019 COURSE Registration Form