Name *

First Name

Last Name

What is your date of birth? *

MM

DD

YYYY

Please list the full name of the person we should contact in case of emergency *

First Name

Last Name

Have you participated in Pilates before?

Yes

No

Are you pregnant?

Yes

No

Have you ever had any of the following?

Please tick any that apply to you

Heart Disease or Heart Attack

High Blood Pressure

Stroke

Asthma/Bronchitis

Muscular Pain (more than just from workout soreness)

Hernia

Heart Palpitations

Low Blood Pressure

Please indicate you understand and accept our 24 Cancellation and Expiration Policy for all our products and services. Details are available on our website. *

For details make sure to see: http://www.properpilates.com.au/privacy-tc

Yes

No

If you are managing injury/illness please confirm that you have been given clearance to train from a relevant medical expert

You only need to answer this if it applies to you

Yes

No

Please indicate you agree to keep us informed prior to lessons of any changes to your health status *

I agree

Our studio operates with a positive, inclusive culture. Please indicate you understand our right to refuse service to clients we feel undermine or endanger this *

I understand and accept

Our sessions start on time, which means you should be there. Please indicate you understand this and that you also understand we will not credit you for missed time *

I understand and accept

Please indicate you agree to attend sessions in clean workout clothes. You also understand and agree to ensure all clothing is zipper and stud free, ensuring equipment won't be scratched or torn. Feet and body must also be clean, and we do require you to wear deodorant. *

Please bring your own water. We also understand that from time to time feet aren't in the best state- if so, just remember to bring a pair of clean socks you can wear as our trainers often handle feet

I understand and accept

As our staff have a duty of care for all persons in the studio, we do not allow children to accompany parents/caregivers. Please acknowledge you understand *

I understand and accept

Please indicate your understanding and acceptance of our right to refuse group class services to clients we do not feel the service is appropriate for *

I understand and accept

You understand and accept our ownership of our schedule and our right to cancel and change session times as we require *

I understand and accept

Please let us know if you agree for your image to be captured while at the studio and used in marketing and social media posts *

I agree to allow Proper Pilates to capture my image for publication

I do not agree to allow Proper Pilates to capture my image for publication

Upon submitting this form you acknowledge by re-entering your name below that the above details are true and current *

First Name

Last Name