Event registration
I'm so excited that you will be joining me for Strength & Stretch Break: A four week online Pilates class series to help you build core & full body strength, reduce stiffness, and increase flexibility.
The first step is to fill out the form below.

To complete your registration please send payment to Paypal (kirstenmovement@gmail.com - please use friends & family option) or Venmo (@Kirsten-Adler-2) Please not that certain banks may charge you a surcharge for online payments.

I'll be emailing you a welcome email.

For any questions please email me at info@exploremovement.com

Sign in to Google to save your progress. Learn more
Name *
Email *
Do you have any health concerns or injuries? If so, please elaborate. *
What is your goal with this series? *
Waiver: By TYPING MY FULL NAME below, I agree that I am voluntarily participating in the Strength and Stretch Break Pilates Series under the guidance of Kirsten Adler & Explore Movement. I understand that it is my responsibility to discuss with a physician prior to and regarding my participation in the previously mentioned exercise program. I warrant that I have no medical condition that would prevent my participation and agree to assume full responsibility for any risks, injuries, or damage that may incur as a possible result of participating in such a program.  Such risks may include, but are not limited to, heart attacks, muscular injuries, orthopedic injuries, or any other illness or soreness, including death. I willingly and expressly waive any claim I may have against Kirsten Adler or Explore Movement for injury or death caused by negligent acts. *
Type Full Name Below
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy