Revolution Pilates
Studio Services Education Links
Welcome Flower

Revolution Pilates Studio Booking
Request Form

Thank you for your interest in our studio. Please complete the form below to register you interest in our studio.

(All * required fields must be filled in)

First Name: *
Last Name: *
Email Address: *
Contact phone Preference 1:*
Contact phone Preference 2:  
To better help us advise you, please state any health conditions or physical injuries which may effect your time at our studio. If you have been referred us, please state the name of the referring health professional:
Reason for contacting us: *     
Any other reason for contacting us:
   
Type of Appointment: *  
A. Studio Sessions
Instructor Preference

*Senior and Director instructor preference incur an additional $10 surcharge per hour for Private Instruction.
B. Floor Classes   
Preferred Days:* Mon Tue Wed Thurs Fri
Sat Sun
Preferred Hours: *           
How did you find us?:


We will attempt to contact you about your request by the phone number(s) provided within 24 hours (excluding days of closure).At that time, we can answer any questions you might have and help you decide the best options.This is only a booking request. Your appointment will be confirmed when you are contacted by the studio by phone.

Save time by bringing any of the
following forms to your first session

If attending your Initial Open Floor Class or Beginner Pilates Course:
PdfFloorAssessment.pdf

If attending your Initial Studio Session:
PdfStudioAssessment.pdf

If you are coming to Revolution for medical purposes please print out and have your medical pratitioner sign the attached form. Please fax or bring to your first appointment.
PdfPhysicianRelease.pdf

 

 


419 Oxford Street Mt Hawthorn Perth, Western Australia 6016 Phone (08) 9443 1403 Contact