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SB Physiotherapy & Pilates
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SB Physiotherapy & Pilates
Home
About
Services
Pilates
Contact
Book Online
Book a Pilates Class
Join Sinéad for a Six Week Pilates class.
Name
*
First Name
Last Name
Email
*
Telephone Number
*
GP Name & Address
*
Current Medical History (Surgery, Conditions, Inclusive of pregnancy & stage)
*
Any current injuries?
*
Current medication
*
Any allergies?
*
Have you ever had treatment for a back or neck pain, slipped disc, sciatica?
*
Yes
No
Are you receiving active treatment for any injuries?
*
Yes
No
Are you suffering from any other health problems that may be relevant to your ability to exercise e.g. osteoporosis, arthritis?
*
Yes
No
Type Of Class
*
Mixed - 8:00PM
Week Beginning
*
Tuesday 18th Feb
Tuesday 31st March
Tuesday 12th May
Tuesday 23rd June
What would you like to achieve from Pilates/why are you trying Pilates?
*
Classes run for six weeks and cost €60 per person to be paid upfront.
*
I Agree
Thank you! Sinead will be in touch shortly.