Education Enquiry Form

Education Enquiry Form
Name*

First NameLast Name
E-mail*
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number*

Country CodeArea CodePhone Number
Course registration
- Space is limited and applications will be processed on a first come-first-served basis.
- For full details about registration and cancellation policies, read our education policies.
Which course(s) are you interested in?*

Functional Anatomy Level 1, 20 hrsFunctional Anatomy Level 2, 15 hrsIntensive Mat Plus (IMP), 40 hrsIntensive Reformer (IR), 50 hrsIntensive Cadillac (ICAD), 25 hrsIntensive Chair (ICHR), 15 hrsIntensive Barrels (IBRL), 10 hrsAdvanced Mat (AM), 6 hrsAdvanced Reformer (AR), 18 hrsAdvanced Cadillac (ACAD), 6 hrsAdvanced Chair (ACHR), 3 hrsAdvanced Barrels (ABRL), 3 hrsInjuries & Special Populations (ISP), 24 hrsTotal Barre (TB), 7 hrsFascial Movement (FM), 16 hrs
Please tell us more about your background, corporate or fitness. List related degrees, diplomas, post-secondary or certificate courses and workshops, including Merrithew / STOTT PILATES education.*
Do you have functional anatomy knowledge or education? If yes, please include background, number of hours, when/where you studied and what topics were covered.*
List related certification (please specify: eg. ACE, AFAA)
Outline your teaching experience (describe subject taught / years teaching)*
Describe your personal experience in Pilates, dance, fitness or other body work (how many years / how recently / which methodology)*
Do you have any injuries, conditions or postural issues? Are you currently pregnant or have you recently given birth? to disclose any issues prior to enrollment may result in your removal from the course.*
Why are you interested in becoming a Pilates instructor?*
How did you hear about us?*

Real Pilates WebsiteAt the studioFriend/ColleagueOnline SearchOthers
Should be Empty: