Pilates Performance & Rehab
An Innovative System of Mind/Body Fitness
Call us to schedule for the Topeka or Lawrence studios!
For the Topeka Location call (785) 267-5896.
For the Lawrence studio call (785) 221-9609.
Please feel free to e-mail your questions to us at
Pilates Performance and Rehab
.
If you are interested in participating in one of our programs, please complete the Precandidate Questionare below. It will be submitted directly to Pilates Performance and Rehab.
The field marked with (*) are required fields.
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First Name
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Last Name
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Address
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City
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State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington
West Virginia
Wisconsin
Wyoming
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Zip
Date Of Birth
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Phone Number(s)
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E-Mail
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Available Training Times
Early Morning (6am – 8am)
Morning
Lunchtime
Early Afternoon (1pm – 3pm)
Late Afternoon (3pm – 5pm)
After 5pm
Weekends
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Available Training Types
Pilates Mat
Pilates Apparatus
Yoga
Aqua Aerobics
Prenatal Postpartum
On Site Programming
DVD Series
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Workout Schedule: I would be interested in training
Once per week
Twice per week
Three or more times per week
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I would like to train in
Topeka
Lawrence
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To best design your program, please let us know a little about your exercise history:
To best design your program, please let us know a little about your Pilates history:
To best design your program, please let us know a little about your sports/dance background:
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Medical Concerns? If yes then please elaborate.
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How did you hear about Pilates Performance and Rehab?
