Application Form - Workshops

    Name

    Surname
    Date of Birth
    ID Number
    Age
    Contact Number
    Your Email
    Residential Address
    Postal Address
    Occupation
    Disabilities
    Qualification
    Where did you hear about our workshops?
    What fitness regimes do you practice?
    Select Your Workshop

    Agree
    I have read, understand and agree to the Terms and Conditions

    Pilates Dynamics Banking Details
    Absa bank – Cresta | Account name – Pilates Dynamics | Branch no – 632 005 | Cheque account no – 40-7342-5372 | Your reference – Your name and surname