Online Pilates Registration Form

Please fill in the fields below to begin the online registration process. Once we receive your form, someone from our studio will follow up with you as soon as possible with instructions on what to do next. If you have any questions, please call us at (423) 624-7462

Required fields are marked with an asterik (*). If you do not have an answer, please type in "N/A" or "None" in order to process the form.

Basic Info

First Name:

Last Name:

Date of Birth:

What is your gender?

Male

Female

Contact Info

Address Line 1:

Address Line 2:

City:

State:

Postal Code:

Home Phone:

Work Phone:

Mobile Phone:

Email Address:

Your Occupation:

Questions

How did you hear about Pilates in Motion?

Please tell us about your current exercise routine (types of exercises, frequency, etc). If you do not currently exercise, then let us know that as well.

Do you have any previous experience with Pilates, dance, or similar types of disciplines?

Have you had experience with Pilates apparatus? If so, which ones?

Do you have any previous teaching experience? If so, please describe it.

Can you please describe what you hope to achieve through our Pilates programs?

Please describe any injuries, physical conditions, areas of muscle tension (or weakness), and any other chronic problem areas that might limit your ability to exercise.

Please include any additional information that may be helpful in avoiding injury, or helping you reach your goals.

Please type the characters you see in the picture:

Online Pilates Registration Form

Subscribe to our Newsletter