Personal Details

    Please complete this Enrolment Form so that we know who you are and a little bit about you in order to provide you with the best possible pilates experience

    Gender*

    Lifestyle

    Tell us a little bit about your lifestyle to help us understand your current movement patterns.


    Sitting for long periodsDriving for long periodsStanding for long periodsLifting heavy weightsAny other repetitive actionNone of the above


    Health

    Please let us know if you are currently experiencing any of the following health conditions:

    Lower Back Pain

    Neck Pain

    Pelvic Pain

    Spinal Condition

    Other Orthopaedic Condition

    Heart Problem/Pain

    High/Low Blood Pressure

    If you answered 'Yes' to any of these health condition questions, do you have medical permission to exercise?*

    YesNoNot applicable - I answered No to all health condition questions

    Have you been diagnosed with any of the following?*

    Are you taking any drugs or medication which may affect your ability to exercise?

    Please provide more details

    Are you currently pregnant?*

    When is your due date? If unknown, please leave blank

    Have you been pregnant in the past 6 months?*

    If you have had a baby, what was your delivery type?*

    Your Goals

    Start to think about what you would like your pilates practice to help you achieve.

    Will this be the first time that you have practiced pilates?

    YesNo

    Approximately, how many sessions have you attended previously?

    What would you like to get out of your pilates experience?

    Please provide a few key goals and we will chat more about this in our 1:1 intro session.

    IMPORTANT INFORMATION

    Please read through the following information carefully to ensure you understand the advice and guidance.

    Please advise us before commencing any session if, for any reason, your health or your ability to exercise changes.

    If you are pregnant, please confirm your doctor or midwife has given clearance for you to take part in pilates exercise.

    Pilates exercises are very safe but if you have any doubts about the suitability of the exercises, you should refer back to your medical practitioner. The teacher can accept no liability for personal injury related to participation in a session if:

    • Your doctor has, on health grounds, advised you against such exercise

    • You fail to observe instructions on safety or technique

    • Such injury is caused by the negligence of another participant in the class/studio (for face-to-face sessions)

    Exercise should be performed at a pace which feels comfortable for you. Pain is the body’s warning system and should not be ignored. Please inform your teacher immediately if you feel any discomfort during a session. Please also inform your teacher if you felt any discomfort after a previous session.

    I understand that face-to-face Pilates exercises involve hands-on correction and I hereby consent for my teachers to work in this way.