Application Form

Teacher Training Application Form

Washington DC
Name*

First NameLast Name
Today's date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number*

Area CodePhone Number
Which courses would you like to sign up for?*

Mat CourseReformer CourseTower & Cadillac CourseChair & Barrels Course
How did you hear about our Teacher Training Program?*
Relevant education: list any degrees, certifications, diplomas, workshops and continuing education.*
Relevant experience: outline any experience practicing any form of body therapy, teaching dance, yoga, personal training, or other exercise in a group, or one-on-one format.*
How would you like to use the education gained in the Teacher Training Course?*
Have you been attending Pilates lessons?*

YesNo
Mark the format and equipment you have experience with.*

Mat PilatesReformerTower / CadillacChairBarrels
List any injuries, conditions (including current, or recent pregnancy), or postural challenges that require modifications when exercising and may require modifications in the course you are registering for.*
Please provide a brief biography.*
Should be Empty:

Teacher Training Application Form