Pilates Form Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Age *Telephone Number *OccupationDo you have any health issues or injuries *NoYesIf you answered Yes to the previous question, please give details.Are you currently taking any medication? *NoYesIf you answered Yes to the previous question, please give details. Do you engage in regular exercise? *NoYesIf you answered Yes to the previous question, please give details.Are you pregnant or have you been in the last 6 months? *YesNoHave you taken part in a Pilates Class before?YesNoI have highlighted on this form any medical condition that might affect my ability to partake in this Pilates class. I have disclosed all health issues and medications and have consulted with my GP (where necessary) in order to partake in this class. I understand that I take part in this class at my own risk. Please tick the box to confirm your agreement. *AgreeBy providing the information you have submitted, you consent to the collection and storage of your data as described in the privacy policy, which is available for inspection on request. Please tick the box to confirm your agreement. *AgreeMessageSubmit