Course

Please select the course:

Select course year:

Personal Details

Name:

Surname:

Residential Address:

Street:
Suburb:
Postcode:
State:

Postal Address (If different):

Street:
Suburb:
Postcode:
State:

Contact Details:

Mobile:
Email:
DOB:

Experience:

Have you practised Pilates before?

NoYes, as a clientYes, as an instructor

Have you completed at least 20 Pilates Mat and 20 Pilates Equipment Sessions?

NoYes

Which Studio/s did you attend?

Do you have any Movement/Fitness Qualifications that would be relevant to this course?

Have you completed any Anatomy and Physiology Course?

If yes, which organisation and when?

Do you have any disability or medical condition that would affect your ability to participate in this course?

Details:

Which of the following categories describes your current status?