Workshop Booking Form

Please print and return this form

ENERGYFLOW FITNESS - PILATES WORKSHOP REGISTRATION FORM

Name	_________________________________________________________
Address	_________________________________________________________
Tel No	_________________________________________________________
Email	_________________________________________________________
Date of Birth	_________________________________________________________

Please list any injuries, illness or joint problems below. We may contact you prior to
the workshop for further information.

_______________________________________________________________________

Please circle the sessions you require and fill in the date required

	Date Required	Concession
Beginners For Fitness ..........................................	[ / / ]	[ yes / no ]
Beginners For Health ...........................................	[ / / ]	[ yes / no ]
Beginners Pilates .................................................	[ / / ]	[ yes / no ]
Improvers Pilates .................................................	[ / / ]	[ yes / no ]
Pregnancy and Post Natal ....................................	[ / / ]	[ yes / no ]
Pilates For Runners .............................................	[ / / ]	[ yes / no ]
Joseph Pilates' Original Series ............................	[ / / ]	[ yes / no ]

For consessions, please bring proof of entitlement to the workshop

If you wish to register for more than one session you get a 15% discount. The workshops will be held at
St Clements Church, Edge Lane, Chorlton (see website for details)

I enclose a cheque made payable to "Sarah Hudson Jones"

for the total amount _____________________________

PLEASE RETURN THIS SLIP AND PAYMENT TO
EnergyFlowFitness, 37 Brundretts, Chorlton, Manchester, M21 9DE

Thank You