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Health Waiver

Please fill out the following medical form if you would like to join our classes.

First Name

Email Address

Last Name

Date of Birth

Have you been advised by a doctor not to do exercise in the past 6 months? *

No

Yes

Have you had any past or current injuries that mightwill affect your performance *

No

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

I agree to the terms & conditions

Thanks for submitting!

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Contact Us

The Academy School

186 Valley Rd

Hout Bay

Cape Town

7806

Tel: +27 71 176 9118

Email: coreptraining@gmail.com

Contact us now and enjoy unique Pilates/Core Power training classes wherever you may be.

Opening Hours

Mon-Fri: 7:00AM to 7:30PM

© 2021 designed by Yew & Eye

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