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Client Registration Form Name:_____________________________________ Address:___________________________________ _____________________________________ e-mail Address:______________________________ Home #____________________________________ Mobile #____________________________________ How many classes a week_________________________ How did you hear about our facility_________________ __________________________________________ Have you Had prior pilates training_______________ If so for how long_____________________________ Which facility did you train_____________________ Any injuries or special issues that we should be cautious of ____________________________________________ ____________________________________________ Please print and bring the registration form when you come in for your first visit Please go to contact page and let us know you will be coming in for a class at Breath! |