		Pilates Associates of Central NY, LLC The PILATES Room 310 Taughannock Blvd. Ithaca, NY 14850 (607) 330-0957 info@nypilates.info

Home \| contact \| teacher training \| schedule \| News \| fees \| trainers \| post-rehab \| child care \| partners

Request a Training Session

*Today's Date:

*Full Name:

*TEL:

*Email:

Returning Client?:

Yes No

*Preferred Trainer?:

*Preferred Contact Method?

Private
Semi-private/Duet (please list participants)

Session Type? (choose all that apply)

Barrels
Mat
Reformer

Cadillac
Unsure
All Equipment

Pilates

How did you learn about The PILATES Room?

Select this box if you would like to receive The PILATES Room email newsletter, "REFORMATIONS" ?

Comments: (please enter any other information you wish to include with this correspondance: preferred dates, times, etc.)