MDTFG New Student Form

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Welcome to Movement Designed to Feel Good!

MDTFG is a virtual & in person fitness community that crafts joyful movement experiences to meet you exactly where you are and work toward your wellness goals together around strength, flexibility, posture, stamina, and stress release.

Please fill out the form below so we can best support you in your wellness journey.

Full Name *

Email Address

Pronouns

She/her

Him/he

They/them

Other:

Birthday! *

YYYY

Full Mailing Address: *

Cell phone # for appointment reminders

Do you have any past or current injuries that impact you today? If so, please share below.

Are you cleared by your doctor to exercise?

Yes

Recently cleared (last 6 months)

Other:

When does your schedule typically allow you to carve out time for movement? Please specify exact windows of availability with times under other.

Before work

After work

On the weekends

I make my own schedule, it's flexible

My schedule changes a lot, so it's not predictable

Other:

Which movement modality are you most excited to participate in as an MDTFG member?

Pilates

Yoga

Dance Cardio

Dance Strength

Other:

Is pilates new to you? What current wellness goals are you working toward right now? What would allow you to live your most vibrant life?

We recognize that humans are different and come to their workout with different hopes, and ways that they learn best. Is there anything else you want to share to allow us to make your movement and learning experiences as optimal as possible?

Do you feel safe to walk on unsteady surfaces?

Yes

Maybe

Other:

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All in person sessions are hosted at 810 Warwick Furnace Road in Glenmoore, PA. All virtual private sessions are hosted using the link below, please copy & paste the link for your reference and keep it handy!

https://us02web.zoom.us/j/6838693526

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MDTFG is proud to be an EDU center for globally recognized and respected Peak Pilates. From time to time, this means that if you are a pilates student, a teacher in training may be present during your session to observe your instructor or practice. Please acknowledge that MDTFG is an EDU center below.

I acknowledge that MDTFG is an EDU center and I can expect that from time to time there may be a teacher trainer observing a lesson

Life happens, and we understand that appointments need to be modified at times. Please make your very best effort to make any changes outside of our 24 hour cancellation policy so that we may offer your slot to someone else. Due to the limited number of available appointments, MDTFG must maintain a firm 24 hour cancellation policy barring an emergency. Please acknowledge this policy by checking the box below *

I acknowledge the 24 hour cancellation policy and understand that I will be charged for sessions cancelled or rescheduled within the 24 hour range.

Required

Before submitting this form, please copy/paste one of the payment options below in a new window and check out. We will not be notified of your form until one of the options below is selected and completed. Until you check out, this form will not be submitted.

Single session: $100: https://app.punchpass.com/org/17487/passes/173582?check=1682474020

Single session with Charlotte: $125 https://mdtfg.punchpass.com/catalogs/purchase/pass/248547

New client special (not applicable for sessions with Charlotte): $175 for three sessions: https://app.punchpass.com/org/17487/passes/173585?check=1682474451

Thank you for helping us craft your optimal movement experience, we will be in touch with our next available openings!

Lots of love,
Charlotte and the MDTFG Team!

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