MDTFG New Student Form

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Welcome to Movement Designed to Feel Good!

MDTFG is a virtual & in person fitness community that crafts joyful movement experiences to liberate people from toxic diet culture & enhance self compassion-We are so excited to move and grow with you!

Please fill out the form below so we can best support you in your wellness journey.

Name: *

Pronouns

She/her

Him/he

They/them

Other:

Birthday! *

YYYY

Full Mailing Address: *

Cell phone # for appointment reminders

Do you have any past or current injuries that impact you today? If so, please share below.

Are you cleared by your doctor to exercise?

Yes

Recently cleared (last 6 months)

Other:

When does your schedule typically allow you to carve out time for movement?

Before work

After work

On the weekends

I make my own schedule, it's flexible

My schedule changes a lot, so it's not predictable

Other:

Which movement modality are you most excited to participate in as an MDTFG member?

Pilates

Yoga

Dance Cardio

Dance Strength

Other:

What current wellness goals are you working toward right now? What would allow you to live your most vibrant life?

We recognize that humans are different and come to their workout with different hopes, and ways that they learn best. Is there anything else you want to share to allow us to make your movement and learning experiences as optimal as possible?

Movement Designed to Feel Good is an official Peak Pilates® Education Center. We proudly offer the industry’s best comprehensive Classical/Authentic Pilates education programming and certification, taught by studio owner & master instructor Charlotte Rosen. Please acknowledge that MDTFG is an EDU center below.

I acknowledge that MDTFG is an EDU center and I can expect that from time to time there may be a teacher trainer observing a lesson

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All in person sessions are hosted at 810 Warwick Furnace Road in Glenmoore, a teacher will greet and direct you upon arrival of your first visit! All virtual private sessions are hosted using the link below, please copy & paste the link for your reference and keep it handy!

https://us02web.zoom.us/j/6838693526

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Life happens, and we understand that appointments need to be modified at times. Please make your very best effort to make any changes outside of our 24 hour cancellation policy so that we may offer your slot to someone else. Due to the limited number of available appointments, MDTFG must maintain a firm 24 hour cancellation policy barring an emergency. Please acknowledge this policy by checking the box below *

I acknowledge the 24 hour cancellation policy and understand that I will be charged for sessions cancelled or rescheduled within the 24 hour range.

Required

Before submitting this form, please copy/paste one of the payment options below in a new window. If you received a gift card for your session or are an MDTFG complimentary guest, please ignore this section and hit submit.

Single Duo session: $65: https://app.punchpass.com/org/17487/passes/173583?check=1682474078

New client special: $150 for three duo sessions ($45 savings): https://app.punchpass.com/org/17487/passes/173585?check=1682474451

Thank you for helping us craft your optimal movement experience, we will be in touch with our next available openings!

Lots of love,
Charlotte and the MDTFG Team!

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