Name *

First Name

Last Name

I agree to the following *

Cancellations made within 24 hours of an appointment will be charged at the full rate.

I, the client, accept that I exercise at my own risk

I acknowledge that the personal information provided above is necessary and required to fulfil the contractual relationship. Furthermore, I expressly agree that Patumbah Pilates, Heather Steele may process and use this information for information about current classes and workshops by e-mail. The consent given hereby can be revoked at any time.