Your Name
*
First Name
Last Name
Company Name (If Applicable)
Application Date
*
MM
DD
YYYY
Email
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
Date of Birth
MM
DD
YYYY
I am interested in attending the following Courses (see workshops below)
Please Select Training of Interest
I am interested in attending the following Workshops (tick the box)
STOTT PILATES® Workshop
(please note these don't run all the time for upcoming workshops please see calendar)
Total Barre™ Workshop
(please note these don't run all the time for upcoming workshops please see calendar)
Education
Relevant Education - Please list related degrees, diplomas, post-secondary or certificate courses and workshops.
Anatomy Education
Include number of hours, when/where you studied and what topics were covered (e.g. musculoskeletal, anatomy, biomechanics).
Relevant Experience
Please outline your teaching experience (describe subject taught/years teaching).
Movement Experience
Describe your personal experience in fitness, dance or other body work (how many years).
Pilates Experience
Outline your Pilates experience (describe when/where/hrs trained in the STOTT PILATES™ method or other.
Physical Information
Do you have any injuries, conditions or postural issues? Are you pregnant or have you recently given birth?
Training Ambitions
Why are you interested in becoming a Pilates instructor?
Terms
*
Payment Preference
*
Direct Debit
Credit (Visa/Mastercard): Note a 3% transaction fee applies
