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Goal (e.g. strengthening core muscles,body shape correction etc)^*

Are you PREGNANT? ( How Many weeks/ Any misscariges before?)^*

MEDICAL CONDITION [Previous / current] (e.g. disc bulge, scoliosis etc)^*

Age^*

Do you have any pilates experience?^*

YesNo

If you are pregnant, it is not suitable to register for group classes. Instead, it would be more appropriate to seek a consultation with the wellness team. Please provide us more details :^*

YesNo

For individuals who have undergone surgery, are pregnant, have experienced a miscarriage, or have conditions such as herniated discs (lumbar, thoracic, cervical) causing discomfort or for those with specific health conditions, group class registration is not suitable. Group classes are appropriate for individuals with no medical issues and a healthy spine condition. Please seek advice from the wellness team if you are concerned about your health condition.^*

YesNo

Emergency Contact Name & Number^*

Do you have or have you in the past contracted an infectious disease?(e.g. dermatitis,hepatitis,HIV)^*

YesNo

Do you have children?

How many? Birth and baby history

Treatments / Medication^*

Are you, or have you ever trained at an elite level in any sport or art?

Are you under 18? If yes, your parents/guardian must read the T&Cs and sign up for you^*

For under 18 Parents/Guardian Full name

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.^*

YesNo

Wellness prioritizes the growth of instructor trainees by providing them with the valuable opportunity to observe group classes, which is instrumental in nurturing professional leaders. Observing these group classes significantly contributes to the development of leaders with a wealth of professional knowledge and practical experience. We sincerely appreciate your understanding and cooperation in embracing this learning journey. Thank you for being part of our program!^*

YesNo

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