Personal Information Form

Please fill this form before you attend your first class. Thank you!

Name *
Name
Residential Address
Residential Address
Date of birth *
Date of birth
What are your objectives with the Pilates class? *
Would you like to receive our Newsletter? The Newsletter goes out roughly twice a month and is the main source of news, updates and special offers for Rachel Lawrence Pilates - we recommend signing up so you don't miss out! *
DISCLAIMER : I understand the various risks associated with an exercise programme and it is my desire to participate. I have not withheld any relevant information regarding my physical condition which may affect me during or following as session, and I will notify you of any other injuries that may occur. *