Please complete the form below to join our classes

Name *
Address *
Please include names and phone numbers
Please give details of any experience you have
Before you submit this form: *

NOTE: Please read the information below before submitting this form.


Please advise the teacher, before commencing any exercise, if your health or your ability to perform the particular exercise changes.  Exercise is not a substitution for medical counselling or treatment. If you have any doubts about suitability of the exercises, you should refer to a medical practitioner.

 The teacher cannot accept any liability for personal injury related to participation in a session, if:

  • Your doctor has, on health grounds, advised you against such exercise

  • You fail to observe instructions on safety and technique

  • Such injury is caused by the negligence of another participant in the session

Exercise should be performed at a pace that is comfortable to you. PAIN is the body’s warning system and should not be ignored. Please inform the teacher immediately if you feel any discomfort during any session. Please also inform the teacher if you felt any discomfort resulting from a previous session. Whilst every effort is made to keep each session safe and effective there is a risk of injury, as with any programme of activity.  

I understand that Pilates exercises involves hands-on correction and I hereby consent for the teacher to work in this way.

By submitting this form, you agree that you are participating of your own free will.

At any time, please feel free to discuss any questions you may have about your Pilates sessions. 


I confirm that the Pilates Room and my teacher may use the contents of this form, and any other information I may later provide, for teaching purposes, and that this information: 

  • Will be used in confidence and stored securely. 

  • Will not, in any circumstances, be shared with a third party without my written consent, unless that party is another Pilates teacher who will teach me. 

  • May be retained by the Pilates Room and my teacher for a period of time such as complies with professional, legal and insurance requirements that they must fulfil. 

I confirm agreement for the Pilates Room and my teacher to contact me with information on classes and other Pilates-related activities, and understand that I have the right to withdraw this ‘consent to be contacted’ at any time.