First Name *

Last Name *

Phone *

Email *

Preferred Class Location *

Sandy Bay
Lauderdale
Glenorchy
Blackmans Bay
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Have you practiced Pilates before? *

Yes, I’m a regular
Yes, I’ve done a few classes
No, I’m brand new to Pilates
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What’s your primary goal for attending Pilates classes? *

Build strength and tone muscles
Improve flexibility and posture
Stress relief and relaxation
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Do you have any injuries or physical limitations we should know about? (Please specify, or write "None") *

Emergency contact name + ph number *

How did you hear about us? *

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