To get to know you a little better and discover how we can work with you to achieve your goals, please complete our New Client Form below.

1. Your Name (required)

2. Your Email (required)

3. Birthdate(required)

4. Occupation(required)

5. Street Address(required)

6. City(required)

7. Province(required)

8. Postal Code(required)

9. Home Phone(required)

10. Cell Phone(required)

11. Emergency Contact Phone (required)

12. What specific fitness or health goals do you hope to achieve through the Pilates Method?(required)
 Lose Weight Strengthen Muscles Stress Reduction Mind Body Connection Blance Work Specific Area Medical Reason

Other: Please Specify

13. List all current, and any meaningful previous activities:
IE: Pilates, Aerobics, Skiing, Biking , Hiking, Running, Weight Lifting, Swimming, Climbing, Yoga, Walking, Dancing, Equestrian Riding, Golf etc.

14. Describe your present physical condition:
 Poor Fair Good Excellent Athlete