PRIVATE TRAINING INTAKE FORM Name * First Name Last Name Email * Phone * (###) ### #### Date Of Birth * MM DD YYYY What is your occupation? * Describe your level of Pilates Experience * Beginner Intermediate Advanced Tell us your story! What promted you to pursue Private Pilates sessions? * What would you consider a 5 star outcome from your sessions? (eg: feeling stronger, rehabbing an injury, getting back to activities you're not able to do currently.) * How many sessions per week are you interested in? * (Trainers may specify a specific # of weekly session depending on your goals.) 1x p/Week 2x p/Week 3x p/Week What's your schedule like? Do you prefer morning, daytime or evening sessions. What days of the week work best? * Do you have any injuries or health conditions that may affect your training sessions? * Please review and check off the following private training attendance policies: * I understand Barre West has a 24 hour cancellation policy. If I do not cancel my scheduled lesson 24 hours in advance I may be charged in full. I understand that all package expiration dates are clearly stated (expiry is 12 months from date of purchase). All packages are non-refundable and non-transferable. Any package can be put on hold for circumstances such as illness or vacation if notice is given in advance. I practice personal responsibility and attend at my own risk. By choosing to attend class at Barre West, even with increased safety measures, I acknowledge and accept the additional risks associated with the COVID-19 Global Health Pandemic. I understand cell phones must be silenced during training sessions. (If there is an emergency situation, please inform your teacher prior to the start time.) Barre West Studio Policies * - All Private Training sessions and classes are 50 minutes in length. The hour begins at the scheduled appointment time, not at time of arrival. - Grip socks are mandatory for all private lessons. - All private training sessions and classes must to be paid in advance. - Please notify us of any changes in your health/ medical condition. - Please arrive no more than 5 minutes prior to your start time and be respectful of physical distancing in reception. I have read, fully understand and agree to the above. EMERGENCY CONTACT * Email Thank you!