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Contact Ju

Phone

07769 311789

Email

ju@pilatesbyju.co.uk

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Last Name

Email

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JU PILATES Health Waiver

To register to my classes please fill out the following medical form

First name

Email Address

Last name

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities? *

No

Yes

Have you lost your consciousness in the last past 12 months? *

No

Yes

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Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

© 2026, Ju Pilates

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