New client form. Name * First Name Last Name Phone Number * Email * Birthdate * Emergency Contact Name & Number * Do you have any medical problems, concerns, or any areas of pain? Please list any surgeries or chronic conditions or anything that would limit your participation? Are you pregnant or nursing? Do you currently exercise? What are your goals for Pilates? Have you done Pilates before and what was the experience like? How did you find out about us? * Thank you!