| Health disclosure and booking form | |||||
| To book Pilates classes in Teddington with Bemore, please print this form (File>Print), complete and return to us at the address below with your payment alternatively contact us via mb: 07981 193 677 or email robyn@alkamie.co.uk | |||||
| About you | |||||
| Name | Address | ||||
| Phone | |||||
| About your health | |||||
Please tell us if you have relevant health problems that you think we need to know (e.g. back, neck, knee injuries) |
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| What classes you would like to book | |||||
| Day | Time | Description | Number of places | ||
| 6 class pass (£60 each) |
Single places |
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| Wednesday | 6.30-7.30pm | Relaxation Pilates | |||
| 7.30-8.30pm | Dynamic Pilates | ||||
| I enclose a cheque for a total made payable to Robyn Stuart and agree that this is non-refundable (unless the course is cancelled) | Total | ||||
| Please print (File>Print), complete and mail with your cheque to: Brian & Robyn, Bemore c/o 93 Lawrie Park Gardens, Sydenham London SE26 6HW or email to info@alkamie.co.uk | |||||
| We look forward to seeing you at the class | |||||