Reformer Pilates for Exercise Professionals August 25, 2019

Reformer Pilates for Exercise Professionals

Participant Registration Form
Sunday August 25, 2019

8:00-3:00

Reformed Pilates, Ardross St APPLECROSS
Title
Name:

First NameLast Name
What associations are you a member of? (ESSA, APA)
What is your membership level? (AEP, AES, other)
Membership Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail*
Emergency Contact Name
Emergency Contact Number

Area CodePhone Number
Do you have any formal Pilates Training?

YesNo
Please list any injuries, allergies or health conditions that your instructor needs to be aware of:
Payment Method
Please Note: We need minimum numbers of 6 People registered and paid by August 1st to run this course.

If we do not reach minimum numbers, you will be given a full refund on August 1st.

My Products

Reformer Pilates Course$260.00AUD

Enter coupon

Total $0.00AUD

Reformer Pilates for Exercise Professionals