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Health declaration

Please fill out the following form.

Date of birth
Day
Month
Year
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes

Contact Kim
Please leave a valid phone number if you are enquiring about courses/personal training.

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Stonehouse Pilates

Stonehouse Pilates

©2024 Kim Menzies

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