TEACHER TRAINING REGISTRATION FORM

Name and surname

E-mail address

Phone number

Date of birth

Street

Street number

City

Postcode

Comprehensive Course Comprehensive CoursePART I INTERMEDIATE (MAT+REFORMER+CHAIRS)PART II INTERMEDIATE (CADILLAC+BARRELS)PART III ADVANCED (MAT+REFORMER+CHAIRS+CADILLAC+BARRELS)INTENSIVE COMPREHENSIVE COURSE (MAT+REFORMER+CHAIRS)

Modular Course Modular CoursePART I: INTERMEDIATE - MATPART I: INTERMEDIATE - REFORMERPART I: INTERMEDIATE - CHAIRPART II: INTERMEDIATE - CADILLACPART II: INTERMEDIATE - BARRELSPART III: ADVANCED - MATPART III: ZAAWANSOWANA - REFORMERCZĘŚĆ III: ADVANCED - CHAIRSPART III: ADVANCED - CADILLACPART III: ADVANCED - BARRELS

Is this your first course at Diamond Pilates Academy? Is this your first course at Diamond Pilates Academy? yes (fill out the survey) CLICK HERE no

Course date - type the date of the course

Company data Company data Yes, I'd like an invoice.

Company name

NIP

Street

Street number

City

Postcode

How did you find out about Diamond Pilates Academy courses? How did you find out about Diamond Pilates Academy courses?I'm a clientwebsite/internetfacebookinstagramworkshopsfriendconferences/trade fair

Personal data Personal data I declare that the above information is true.

Payments Payments I declare that I got to know payment regulations below.

Agreemet Agreemet I agree to the processing of my personal data by DIAMOND S.C. Bożena Włodarczyk, Ilona Włodarczyk with headquarters in Warsaw at Powsińska street 106, 02-903 Warsaw: in order to provide a service or order and in order to send organisational and marketing information to the e-mail address and/or to my mobile phone. (Consent is voluntary and can be withdrawn at any time by directing a message to: Akademia@DiamondPilates.pl.)