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What is Pilates ? Benefits of Pilates Nicola Smith, Who is she ? Qualifications of the Trainer Classes Location of Classes Enrolment Form
 
Enrolment Form
Welcome to the bodypilates.co.uk enrolment form. If you are interested in taking Pilates classes with Nicola at bodypilates.co.uk, then please fill in the form below and Nicola will get back to you as soon as she can.
Part
Required = *
Name
*
Address1
*
Address2
*
City
*
Telephone No
*
Email
*
Date of Birth
*
Occupation
Are you a member of Fitness First ?
  
Please give your member no.
  
Sports/Hobbies
     
Part 2
     
Does your work/sport involve any of the following:
Sitting for long periods
Bending
Lifting Heavy weights
Driving
Standing
Any other repetitive action
     
Has your doctor ever said that you have any sort of heart trouble or defect ?
     
Have you ever been told that you have arthritic joints or any bone or joint problem that may be made worst by exercise ?
 
Are you pregnant, or have you had a baby in the last year ? If yes please give details below in the further information box.
 
Have you had any operations or injuries in the last year ?
 
Is you blood pressure ...........?
 
Is there any other good reason not yet mentioned that should stop you performing physical exercise ? If so please mention it.
     
Do you suffer from backache ?
 
Are there any movements that cause you pain ?
(e.g. raising your arms, bending forward or to the side, etc)
 
Have you ever been given any remedial exercises ? If so, can you briefly describe them.
     
Have you ever been referred by a specialist practitioner ?
 
If yes, please state their name and contact No.
     
What do you want to achieve from your Pilates session ?
 
Part 3
 
When would you like to take your Pilates class ? *
 
If you would like to give bodypilates.co.uk any further information, please do so here:
 
Part 4 Please read carefully
 
Please advise me before commencing a session if for any reason your ability to exercise has changed. It is inadvisable to do Pilates between 8 to 14 weeks of pregnancy, unless by special arrangement with your teacher. It is also wise to wait six weeks after the birth before resuming exercise.

Pilates exercises at very safe but, as with all forms of exercise, it is prudent to consult your doctor before starting the studio sessions. These sessions are not a substitute for medical counseling or treatment. If you have any doubts about the suitability of the exercises, you should refer back to your medical practitioner. The teacher can accept no liability for personal injury related to participation in a session if::

1. Your doctor has, on health grounds, advised you against such exercise.
2. You fail to observe instructions on safety or technique.
3. Such injury is caused by the negligence of another participant in the studio.
Thankyou for your time, Nicola will get back to you as soon as she can !!!
     
 
 
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