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