Please provide the following contact information:

Please note: Your email address is required to contact you with information regarding your workshop registration or to answer any questions you may have. Your email address will not be given to any other party. If you do not have an email address, any information requested will be sent via regular "snail" mail. If you would like us to call you, please make sure you enter your phone number where indicated. Please make sure that you have supplied your complete address.

Please select the workshop title that you would like to attend.

  Please select one CPT Pilates Mat-work Basic CPT Pilates Mat-work Intermediate CPT Pilates Mat-work Advanced

Please select Workshop Number corresponding to the dates you prefer.

(WS1) Jan. 26 - 27, 2008 (WS2) April 5 - 6, 2008 (WS3) June 28 - 29, 2008 (WS4) Sept. 20 - 21, 2008

Are you a certified Pilates Instructor? Yes  No

If yes, please indicate your level of certification.   Please select one! Pilates Mat Only Full Certfication (Mat and Apparatus)

If certified, where were you certified?

If certified, when were you certified? What year? Please select one! Prior to 1990 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Please briefly describe your background and why you are attending the workshop you selected.

Before clicking on the submit button, please make sure that all required fields have been completed. If you want to clear all of your entries and start over, click on the "Reset Form" button. Note that if you click the "Reset Form" button, ALL entries will be cleared. If you only need to change one or two entries, click directly in each entry you want to change to make the changes.