Enrolment Form

Let the adventure begin. The first step in your Pilates journey is to select your Course date from the options below

Student Details

Please complete all the fields below
First Name
Entity Data - Profile - First Name
Surname
Entity Data - Profile - Surname
E-mail Address
Entity Data - Contact - Home - E-mail Address
Phone Number
Entity Data - Contact - Home - Phone Number
Profile - Birth Date
Entity Data - Profile - Birth Date

Payment

One time payment of $450.00 AUD (Inclusive of GST)

Payment Options
Upfront - Paid in Full 		$450.00
$450.00
$0.00
$450.00