Health Screening Form

Please fill out the following health declaration form in order to participate in our classes either online or in halls.
Sex
Are you active on a daily basis?
Have you ever suffered from?
Have you had surgery in the last 2 years?
Do you have any injuries?
Do you take any?
How you would you rate your current fitness level? 1 being poor to 10 being very fit

Your Signature

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LOVEPILATES ONLINE CLASSES

Strength . Flexibility . Control

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Phone:

Liz: 07768 155278