Client Enrollment Form

ALL INFORMATION WILL BE TREATED IN THE STRICTEST OF CONFIDENCE

NOTE :   All * Marked Fields Are Required.

YOUR PERSONAL DETAILS

EMERGENCY CONTACT DETAILS

PART 1: YOUR BACKGROUND AND YOUR HEALTH

Please list any health problems you suffer, not already mentioned, that may affect your ability to exercise. If you have answered YES to any of questions 3-21 above, we advise you consult with your medical practitioner before you start Pilates Classes Please give further relevant details below, in confidence, to any questions you ticked YES.

Are there any factors your teacher should be aware of that may prevent you from regularly attending classes (such as child care,lack of transport, shift work)?

PART 2: YOUR AIMS

PART 3: INPORTANT INFORMATION

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

Pilates exercises are very safe but, as with all forms of physical exercise, it is prudent to consult your doctor before starting Pilates sessions.

These sessions are not a substitute for medical counselling or treatment. 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/or in your home

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 Body Control Pilates exercises involve hands-on correction and I hereby consent for my teachers to work in this way.
I confirm that I have read and understood the above advice and that the information I have given is correct.

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