Pilates Group Mat Classes SPRING 2013 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 - 6:30pm-7:20pm Triad Ball
Mondays - 7:30pm-8:20pm Springs & Barrels (limited to 6, fee)
Tuesdays - 9:30am Beginner/ Adv. Beginner
Wednesdays - 6:30pm-7:20pm Mat Flow & Roller Release
Wednesdays - 7:30pm-8:20pm Beg. Mat with Props
Fridays - 9:30am Int Mat Challenge
Saturdays - 9:00am Stretch w/ Grissell
Comments/
Questions:
Payment
Enclosed: $
Would you like a
mat class added
to our schedule?