The Pilates Center

Extension Form


Please complete all appropriate fields below. Shaded fields are required.

Name of Home or Host Advisor: 
First Name:

Last Name:
Street Address:

City, State/Province:

ZIP/Postal Code, Country:

Phone:

Email:

 Effective Dates:
to

 

Extensions have a $175 USD fee. Please contact Pace (pace@thepilatescenter.com) to make payment arrangements.

I hereby acknowledge and agree that I am extending my  Teacher Training Program for one month.  I have paid all monies currently due to The Pilates Center, and will keep my accounts current during my extension. I understand that if my program expires I must purchase an extension or I will automatically be withdrawn.

Additionally, I understand that if the cost of any part of the Teacher Training Program or The Pilates Center studio fees should change during my extension I will be required to pay the current pricing.

Copyright © The Pilates Center. This form may not be reproduced.

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The Pilates Center http://thepilatescenter.com
Signature Certificate
Document name: Extension Form
Unique Document ID: a93751e6a4fe4f5be4b0cf7152e31ee38586f582
TimestampAudit
2017-02-07 14:46:41 MDTExtension Form Uploaded by Rachel Taylor Segel - forms@thepilatescenter.com IP 50.194.156.193, 50.194.156.193