Pilates Teacher Training Application Form The following information will be sent in confidence to Feel Good Yoga and Pilates. Your application will be reviewed and you will receive a reply as soon as possible.Namaste. Name*FirstLastAddress*Street AddressAddress Line 2CityAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonProvincePostal CodePhone*Email*Date Of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Number of Dependent Children (if any)What is your background & experience in Pilates*Have you studied any Western‐based system of the body (dance, personal fitness, etc)?*Have you studied any other system of the body (yoga, tai chi, acupuncture, etc)?*Please describe any disabilities, injuries or medical conditions you may have:*Are you currently teaching Pilates?*yesnoAre you using any prescribed medication?*yesnoHave you been recommended by a physician NOT to practice Pilates?*yesnoHow did you hear about our program?*What would you like to gain from this program?*Please add anything else you would like us to know: