The Pilates Center

Hold Request 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

 

I understand that my hold may last one year (12 months) and that all my trainee benefits cease during this time. My internship hours are updated on my google document online.

I acknowledge that I am current with all Teacher Training Program payments and have a zero or positive balance for studio lessons. Based on the length of time “on hold”, I may be required to purchase and perform a Re-Entrance Evaluation ($80.00 USD).

Once the “on hold” period is completed, I am aware that I will resume the program where I left off. 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 hold I will be required to pay the current pricing.

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Signature Certificate
Document name: Hold Request Form
Unique Document ID: 703b206cceda349d6843d53063a64aec01a11856
TimestampAudit
2017-02-07 14:55:46 MDTHold Request Form Uploaded by Rachel Taylor Segel - forms@thepilatescenter.com IP 50.194.156.193, 50.194.156.193