Registration for Private or Group Classes
This form must be completed prior to participation in Pilates or Essentrics with Inspired to Move
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Email *
Name (and pronouns) *
Class(es) Interested In (please check all that apply) *
Required
Phone *
Mailing Address, including city and postal code
Whom to contact in case of emergency *
Emergency contact's telephone *
How did you hear about Inspired to Move? *
What is your reason for starting a Pilates or Essentrics program? *
What are your goals for this program? *
Add me to your email list for tips on creating wellness through movement, special promotions, and upcoming classes and events. *
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