Name and surname

E-mail

Phone

Age

Gender GenderWomanMan

Language LanguagePolskiAngielski

Do you have at least 4 years of Pilates practice: Do you have at least 4 years of Pilates practice: Yes No

Are you interested in: Are you interested in: Monday 5:00-5:50 pm - MAT Friday 3:00-3:50 pm - REFORMER Friday 4:00-4:50 pm - CHAIR

Additional information / questions

Personal data Personal data I declare that all above information are true and I agree to putting my personal data in the database of the DIAMOND S.C company.

Agreement Agreement I agree to processing of my personal data by DIAMOND S.C. Bożena Włodarczyk, Ilona Włodarczyk with headquaters in Warsaw at Powsińska Street 106, 02-903: in order to provide a service or order, to send organizational and marketing information to the e-mail address provided above in the form or to my mobile phone provided above in the form. Consent is voluntary and can be withdrawn at any time by directing a message to the address studio@diamondpilates.pl or akademia@diamondpilates.pl.

Statement Statement I got to know with the Diamond Pilates Studio regulations and I will comply with them.

Number