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*Email:
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*Phone:
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Primary Physician:
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Are you currently under care of a physician? |
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No
Yes
If yes, please state reason below. |
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(For Mat and Systems Training) Previous Pilates Experience |
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Mat: |
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(For Systems Training Only) We require at least 18 months of experience on the full studio repertoire,
as well as completion of Matwork at Beginner Level or a comparable
certificate, to complete your registration for Systems Training.
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Equipment Experience, if any: |
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Years: |
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Please Indicate Date, Level and Course you are registering for. |
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Pilates Matwork
Basic Mat – April 29-31, 2011
Intermediate Mat – May 20-22, 2011
Advanced Mat – June 10-12, 2011
Pilates System & Equipment
May 27-29, 2011
June 24-26, 2011
July 22-24, 2011
September 16-18, 2011
October 14-18, 2011
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Emergency Contact:
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Please list your past exercise experience, if any. |
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Hobbies:
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Occupation (do you mostly sit, stand, drive, work on a computer?) |
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