pink pilates programme education and certification application form ...
pink pilates programme education and certification application form ...
pink pilates programme education and certification application form ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
PINK PILATES PROGRAMME<br />
EDUCATION AND CERTIFICATION<br />
21,22,23 August 2009, Auckl<strong>and</strong><br />
APPLICATION FORM<br />
2009<br />
Name<br />
Street Address<br />
Suburb<br />
City<br />
Phone h<br />
w<br />
m<br />
Email Address<br />
Physiotherapy Graduation<br />
Date<br />
Physiotherapy Clinic Name<br />
<strong>and</strong> Address<br />
Please describe or attach<br />
additional in<strong>form</strong>ation<br />
(brochures, websites etc)<br />
on the Physiotherapy Clinic<br />
you work in or own<br />
How did you hear about the<br />
Pink Pilates Programme?<br />
Pink Pilates© 2008
PINK PILATES PROGRAMME<br />
EDUCATION AND CERTIFICATION<br />
21,22,23 August 2009, Auckl<strong>and</strong><br />
Please describe any experience you have had with breast cancer clients <strong>and</strong>/or clinical <strong>pilates</strong>:<br />
Please list any physiotherapy or <strong>pilates</strong> courses you have been on which you think would help you<br />
provide this service:<br />
Please describe your motivation for doing the Pink Pilates Education <strong>and</strong> Certification Programme:<br />
Thanks very much for your <strong>application</strong>.<br />
Please email your <strong>application</strong> <strong>form</strong> to info@<strong>pink</strong><strong>pilates</strong>.co.nz or post to:<br />
The Pink Pilates Trust<br />
168 Haverstock Rd<br />
S<strong>and</strong>ringham<br />
Auckl<strong>and</strong> 1025<br />
Than<br />
Pink Pilates© 2008
Change language