Course Registration Form
Please fill up the registration form below to register for a course.
First Name *
Your answer
Family Name *
Your answer
Preferred Name to be printed on Certificate *
Your answer
Contact No *
Your answer
Email *
Your answer
Address *
Your answer
Profession *
Your answer
Professional Qualification(s)
Your answer
Clinic or Studio Affiliation (if any)
Your answer
Have you had any previous experience in Pilates, Gyrotonic, yoga, dance, martial arts or other form of movement methods? *
If Yes, please provide details
Your answer
How did you hear about us?
Your answer
Please tick the course you would like to register for: *
Required
CANCELLATION & REFUND POLICY
Registration may be cancelled up to 30 days before the workshop. Deposits will be returned with a deduction of a non-refundable deposit of S$150 per workshop. There will be no refund for cancellation 29 days or less before the date of the workshop. Applied Movement reserves the right to reschedule the workshop date and time or cancel the workshop. In such an event, the course fees paid will be refunded in full.
PAYMENT POLICY
Full payment is required to confirm your registration. Your registration will be held for 3 days, after which if payment is not received, the registration will be cancelled and the spot released.
DISCLAIMER
Applied Movement and all staff related to the above workshop will not be liable for any loss of property or life, injury or inconvenience caused from participating in, before, during or after the workshop. It is the participant’s duty to ensure they are of adequate health and physical and mental condition to participate in this workshop.
I have read and agree to the above terms and conditions. *
Required
I understand that my spot will only be confirmed when full payment is made within 3 days of registration. *
Required
Would you like to be added to our mailing list and receive future communications from us?
Name *
Your answer
Date *
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YYYY
CONTACT DETAILS
Call: +65 6737 3406
SMS/Whatsapp: +65 9720 3825
admin@appliedmovement.com.sg
Website: www.appliedmovement.com.sg
PAYMENT INSTRUCTIONS
Please click on the link below to see the available payment options.

http://appliedmovement.com.sg/payment-instructions

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