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Speciality Tracks Designation Request Form
Salutation:*
First Name:*
Last Name:*
Address:*
City:*
State/Province:*
Country:*
Zip/Postal Code:*
Email:*
Phone (day):*
Phone (night):
Do you hold at least one STOTT PILATES Certification?
If Yes, please Specify:
I have completed a minimum of eight workshops in each (or any) of the following categories:
Athletic Conditioning









Golf Conditioning



Post-Rehabilitation Conditioning




Active for Life





Pre & Postnatal



Group Matwork












Group Equipment







Dance







Specialist Designation and Certificate: Only available to Certified Instructors. We are conscious about issues facing the environment, and are making a concerted effort to reduce the use of paper in communication. Upon completion of the Speciality Track, we will provide your certificate as a PDF, free of charge. If you would like to purchase a hard copy of your Speciality Track Certificate, you may do so for a processing fee of $15 per certificate. For printed certificates, please allow 30 days for processing and shipping.