Pilates Group Mat Classes 8 Week Series Registration Form

Please print and complete this form and mail with payment (check payable to "The Pilates Center") to:

The Pilates Center
312-H East Market Street, 2nd Floor
Leesburg, VA 20176

For further information, about mat classes, please call 703-779-3511.

  Returning Student
New Student / Updated Info
Name:
Street:
City:   State:   ZIP:
Day Phone:
Evening Phone:
E-Mail:
Class(es): Mondays - 5:30pm Triad Ball
Mondays - 6:30pm Triad Ball
Mondays - 7:30pm Int.Springs & Barrels (fee)4-6 only
Tuesdays - 9:30am Mat & Stretch
Wednesdays - 11:00am Gentle on Necks/ Backs
Wednesdays - 6:30pm Mix it Up!
Thursdays - 6:30pm Strength & Length
Thursdays - 7:30pm Intro to Apparatus (fee)3-6 only
Fridays - 9:30am Adv/Int Mat
Saturdays - 9am All Levels Mat
Comments/
Questions:
Payment
Enclosed: $
Would you like a
mat class added
to our schedule?