Backlund Pilates Studio
121 Dawes Road
London, SW6 7DU
T. 0207.386.7040
info@backlundpilates.com

The Restorative Package: £400

A special offer for remedial clients which includes:
- 3 Osteopathic Sessions
- 5 Pilates Sessions
- 2 Sports Massages

Click here for details

Intro Offer for
New Clients: £115

We have a special deal for new clients:
An initial assessment session plus two discounted semi-private sessions!

Click here for details

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Teacher Training Application

If you are interested n applying as a candidate for Pilates Teacher Training Courses at Backlund Pilates, commencing in January or October 2012, please complete and submit this online questionnaire.

Please Indicate the Course you are Applying for:

Please make a selection.

Contact Information

First Name
Last Name
Street Address 1
Street Address 2
City
County / State
Post Code / Zip
Country
Primary Phone
Additional Phone
Email Address
Gender
Age
   
Emergency Contact
Relationship
Contact Phone

Pilates Background

How long have you been a student of Pilates? Please indicate an approximate number of sessions and give details of teachers and studios.
If you are not currently teaching Pilates, do you plan on teaching Pilates in the future? If you are already teaching, please give details.
Have you ever participated in a Pilates teacher training program before? If yes, please provide details.

Additional Information

Please describe your educational background (degrees, institutions, locations, and dates) from secondary school to college and beyond
Do you have current First Aid certification (Red Cross or St. John's Ambulance)?
Are you studying or do you have qualifications in related fields? (Anatomy, Yoga, Dance, Massage, Chiropractor)
What attracted you to this particular teacher training program at Backlund Pilates?
What are your goals & expectations for this teacher training program?
How did you hear about the Backlund Pilates teacher training program?
What qualities to you think make a good Pilates teacher? Please also comment on your personal qualities or areas of growth that may be more challenging to you in particular.
Please provide any additional information that you would like to share with us. 

Health & Medical History

List any prescribed medications you’re taking or significant medical treatment you’re currently undergoing
Is there anything we should know about your health, such as high or low blood pressure, diabetes or low blood sugar, epilepsy, heart problems, depression or anxiety, mental health related illness, neck, back, shoulder, wrist, or knee injuries?
Are there any other limitations or challenges that you face, physical or otherwise, that you would like us to be aware of?

Applicant Agreement

I understand that by submitting this applications, I agree to fulfill all the requirements of the Backlund Pilates Teacher Training Program. these requirements include scheduled teacher training session class attendance, required reading, homework, study hours to be completed outside of the classroom, and may also include test Pilates classes/sessions to be taught by you, as well as hours of apprenticeship, working as an assitsant teacher in the studio. Upon completion of all requirements, you may apply to take the Pilates Foundation UK's exam to become a registered Pilates teacher. Backlund Pilates reserves the right to dissmiss students from the teacher training program - without refund of monies paid - if behavior is innapropriate or in anyway violates the Pilates Foundation UK Ltd. or Backlund Pilates Studio’s ethical guidelines. No Backlund Pilates teacher training program materials may be reproduced without written permission by Backlund Pilates or the author of said materials. Failure to comply with any of the above may result in legal action.

By submitting this application you acknowledge that you have answered the questions truthfully and to the best of your ability.

NOTE: If your application fails to submit, please check that you have selected a course preference (at the top of ths form) and checked the application agreement checkbox after reading the agreement blurb (directly above.)

 

 

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