Client Intake Form

Your details

First name

Last name

Email address

Phone number

Date of birth(optional)

Emergency contact

Contact’s full name

Contact’s phone number

Relationship to you

Your movement

How familiar are you with Pilates?

New to Pilates

Some experience

Regular practice

Which classes interest you? (optional)

Reformer

Fusion

Mat

What would you like to work towards? (optional)

Health & comfort

Share only what is relevant to movement. You can choose to discuss health information privately instead. Do not include medical records or identification numbers.

Have you been hospitalized or had surgery in the past 12 months that may affect your participation?

Yes

Prefer to discuss privately

Is there an injury, medical condition, pregnancy or sensitivity to heat that may affect your participation?

Yes

Prefer to discuss privately

Anything you would like your instructor to know? (optional)

Relevant limitations, modifications or comfort preferences only.

Mat, Fusion and Reformer may be offered heated or at normal room temperature. This form is not medical screening or clearance. Seek guidance from a qualified healthcare professional if you are unsure whether exercise or heat is suitable for you.

Review & consent

My answers are accurate and complete to the best of my knowledge. I will tell the studio if relevant information changes.

I consent to The You Studio collecting and using these contact, emergency contact and optional health details to prepare for my participation, discuss suitable modifications and contact me about my intake. My answers are stored privately in Lovable Cloud for review by the studio’s authorized project managers. This is not consent to marketing or acceptance of a liability waiver. I can contact info@teamyouhq.com to ask about access, corrections or withdrawal of consent.

Your initials

Your initials confirm this intake only. The liability waiver remains a draft for legal review and is not being signed here. The studio’s full privacy policy is pending publication.

Private submission · No class booking or waiver signature

Prefer to speak with us? info@teamyouhq.com

Your details

Emergency contact

Your movement

Health & comfort

Review & consent