New Client Intake | JenniferMannFitness

First name

Last name

Email

Phone

Address

Birthday

Month

Day

Year

Please select any of the following that apply to you:

If you ticked any of the above, please add further details here. Or add any other health issue or injury not listed:

List any regular sports or hobbies, & any frequent/repetitive movements you perform, if any:

Have you ever done Pilates before?

What is your reason to start Pilates? You might like to list your goals here. (eg: Improve at your chosen sport or a daily movement; Reduce pain; Improve strength; Increase flexibility; Have fun, Reduce stress, etc)

I agree to the terms & conditions: Private Pilates cancellations within 24 hours of my agreed appointment time will result in the full cost of a session.