Adelaide Reformer Pilates for Exercise Professionals July 14, 2019

Reformer Pilates for Exercise Professionals

Participant Registration Form
Sunday July 14, 2019

9:00-4:00

Club Rhythm - North Adelaide
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 8 People registered and paid by June 14th to run this course.

If we do not reach minimum numbers, you will be given a full refund on the above date.
My Products
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Reformer Pilates Course$260.00AUD

Total $0.00AUD
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Reformer Pilates for Exercise Professionals