Health Screening Form

All new participants must complete a screening form before commencing classes. Doing so enables us to best ensure your safety during classes, and to take into consideration any health issues you may have. It is also an insurance requirement for us to screen new participants. Completing this secure online form prior to your first class is the quickest and easiest way of doing so. Alternatively you may download and print a PDF version, and bring it with you completed to your first class. Data protection: please read our Privacy Statement and Terms and Conditions before completing this form.

Please check all current and past health conditions that apply, or select 'None' if applicable. If you have any of these conditions, you may be required to contact your GP before undertaking classes.
May we send you up-to-date class timetables, information, news and advice via email? We will not pass on your email address to anyone else, and you can opt out at any time.
Do you give permission to be included in any group photographs or video clips that may be taken for class promotion? We will always ask beforehand, and you can opt out at any time.

Jane Mackenzie

MA, L3 Fitness Trainer

Telephone: 07703 792388
Email: j@janem.co.uk

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Folkestone Hythe Sellindge Pilates instructor Jane Mackenzie

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