Pre-Retreat Registration Form

Pre-Registration Information Form

Full Name

Email

Contact telephone number

Date of birth

Dietary requirements (please state any allergies including severity, intolerances and food preferences)

Name, relationship to yourself and contact telephone number of person to contact in event of an emergency

Are you under doctor’s supervision and/or medication for any medical situation we should know about? (please provide as much detail as possible)

Do you have any physical conditions that affect your ability to take part in Pilates classes or any history of illness or injury that is relevant?

How long have you been practicing Pilates?

How did you hear about the retreat?

Menu