SOpilates Enrolment FormTo enrol with SOpilates please complete the form below to confirm your contact details and give any relevant health information.Your data is not shared with third parties and your privacy is protected. See the SOpilates Privacy Policy for further information. YOUR CONTACT DETAILS Name * First Name Last Name Email * Phone * (###) ### #### Address * YOUR BACKGROUND & HEALTH Your date of birth * MM DD YYYY Your occupation (or previous if retired) * Sports/hobbies * Is this the first time you've practiced Pilates * Yes No Has your doctor said you have any heart trouble or defect? * Yes No Are you, or could you be, pregnant now? * Yes No Have you been pregnant in the last year? * Yes No Number of children 1 2 3 4 5+ Is your blood pressure: * High Normal Low Do you have any of the following conditions? Respiratory problems Diabetes A chronic or serious illness Back or neck pain Have you been told that you have arthritic joints, osteoporosis, osteopenia or any joint or bone problems that may be made worse by exercising? Have you had any operations or injuries in the last 4 years? If yes, what? * Do you suffer from any joint problems or restricted movements (eg hip, knee, shoulder, ankle)? * Are there any movements that cause you pain? Have you ever been given remedial exercises? * Which aspects of your health do you wish to concentrate on? * Do you have any of the following conditions? Core toning Strength Stress management Flexibility Posture Relaxation Back/shoulder problems Pelvic floor What health or physical goals would you like to achieve? * YOUR APPROVAL Thank you for completing the SOpilates new client Enrolment Form. Please read the SOpilates Liability Release and our Cancellation Policy below and tick the check boxes to confirm your consent, then submit. I look forward to seeing you soon! Sophy Griffiths, founder SOpilates. _______________________________ Liability Release * As a participant in Pilates, I intend to engage in physical activity. I acknowledge that these activities involve certain risks and I understand that by participating in a class I voluntarily assume the risks. I will take full responsibility for my safety in the class and I have disclosed any relevant health conditions. Exercise should be performed at a pace that is comfortable for you. Pain is the body’s warning system and should not be ignored. Inform your teacher immediately if you feel any discomfort during a session. Please also inform your teacher if you feel discomfort after a previous session. We advise against doing Pilates between 6 – 14 weeks of pregnancy. Please wait until after your six week check when your doctor has confirmed it is safe to resume exercise. Please advise us if your health or ability to exercise changes, before the start of every session. I understand that Pilates involves hands on correction and I give consent for my teachers to work in this way. I confirm I have read and understood the above advice and the information I have given is correct. Please tick to confirm your consent SOpilates Cancellation Policy * 1:1 & 2:1 Sessions: ---------------------- We have a 48-hour cancellation policy for all 1:1 or 2:1 sessions. Please try to avoid changing your time once confirmed. If you have to change your time, and we can reschedule within the same week, we can waive the cancellation. We will try to make things work where possible. Courses, Workshops & Events: ----------------------------------- We require payment in advance for all Courses, Workshops or Events. We allow a refund of 100% if you cancel with 4 weeks or more and 25% refund with 2 weeks or more before the start date of the workshop, event or course. You may also be able to transfer your booking to another event if you contact us. Please tick to confirm your consent Thank you for completing the SOpilates new client Enrolment Form. I look forward to seeing you soon!Sophy Griffiths, founder SOpilates.
