Wellness Pilates Eastwood
SESSIONS
All Sessions
1:1 Private
2:1 Duet
3:1 semi-Private
Client Private Select
3:1 Group
3:1 Group(ENG)
Private
8:1 Group(KOR)
8:1 Group(ENG)
1:1 Private(KOR)
3:1 Group(Mandarin)
8:1 Group(Mandarin)
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Profile
Email:
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Title:
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First Name:
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Last Name:
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Date of Birth:
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Mobile No.:
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Work No.:
Home No.:
Address 1:
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Address 2:
Suburb:
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State:
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Postcode:
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Emailing Options:
No Session Reminders
No Member Pack Expiry Reminders
No Promotional or News Letters
COVID-19 Vaccinated:
*
I have proof I am fully COVID-19 Vaccinated
Other Details
Goal(e.g. strengthening core muscles,body shape correction etc)
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Previous / current medical condition (e.g. disc bulge, scoliosis etc)
*
Do you have any pilates experience?
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Yes
No
Are you pregnant?
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Yes
No
Emergenct Contact Name&Number
*
Do you have or have you in the past contracted an infectious disease?(e.g. dermatitis,hepatitis,HIV)
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Yes
No
Do you have children?
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Yes
No
How many? Birth and baby history
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Treatments / Medication
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Are you, or have you ever trained at an elite level in any sport or art?
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Policy-The instructor may be replaced due to internal circumstances. No refund due to instructor change. All sessions are 50 mins/ Bookings are essential./ Early cancellation or change of the class is only available once in the package when you notify 24 hours prior to the class time (no deduction applied)
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Yes
No
I agree that the information I have given on this document is true and correct. I have read and understand all wording printed on this document and take full responsivility for my actions at any and all times on the premises of Wellness Pilates and during any workouts,classes,practice and use of equipment in any way whilst engaged change of bookings or full fee will be charged.And this can be used only once within the validity perid of your package.
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Yes
No
Are you under 18? if Yes, your parents/guardian must read the T&Cs and sign up for you
*
Yes
No
Current Password:
Password:
Confirm Password:
The New Password and Confirm Password must match.
** Password at least 8 characters and contain at least 1 number **
Member Login
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Password:
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