Want create site? Find Free WordPress Themes and plugins. Online Reservation FRANCE What type of service would you like?* Personal Training Pilates Yoga Massage You can select more than one service for making combinations. Would you like a female or male practitioner, or no preference?*FemaleMaleNo PreferenceWhat language would you like your practitioner to speak?*EnglishFrenchSpanishDo you have any injuries or illnesses that your practitioner should be aware of?Do you have any additional requests for your practitioner or anything else you’d like them to know? For Pilates, Would you like to do...*Mat PilatesWork on a ReformerOther Pilates machinesWhat is your level in Pilates?BeginnerIntermediateAdvanced What style of yoga do you want to practice or are you open to different styles?* Fast Slow Dynamic Gentle Open to different styles If you don’t know the name of a type of yoga you’d like, you can say for example: Fast or Slow, Dynamic or Gentle, or a combination of styles.What is your level in Yoga?BeginnerIntermediateAdvanced What style of training would you like to do?* Agility Cardio Mobility Power Strength Stretching Toning Other (check each box that applies)What is your fitness level?BeginnerIntermediateAdvanced What type of massage would you like or what are your desired results?* Thai Oil Massage Traditional Thai Massage Swedish Californian Deep Tissue Aromatherapy Reflexology Natal Postnatal Ayurvedic Energising Hawaiian Lomi Lomi Facial Massage Hot Stone Balinese What body parts would you like your masseuse to focus on?* Head Face Jaw Neck Shoulder Arm Hand Upper Back Lower Back Chest Abdominal Buttock Thigh Calf Foot Will you be providing your own massage table, sheets, towels and blankets?*YesNoDo you have any allergies or special requests concerning products such as oils and aroma therapy?* Your AgeUnder 1818-2425-3435-4445-5455-6465 or AbovePrefer Not to AnswerYour Weight*(please specify in pounds)Your Height*please select2ft2ft 1in2ft 2in2ft 3in2ft 4in2ft 5in2ft 6in2ft 7in2ft 8in2ft 9in2ft 10in2ft 11in3ft3ft 1in3ft 2in3ft 3in3ft 4in3ft 5in3ft 6in3ft 7in3ft 8in3ft 9in3ft 10in3ft 11in4ft4ft 1in4ft 2in4ft 3in4ft 4in4ft 5in4ft 6in4ft 7in4ft 8in4ft 9in4ft 10in4ft 11in5ft5ft 1in5ft 2in5ft 3in5ft 4in5ft 5in5ft 6in5ft 7in5ft 8in5ft 9in5ft 10in5ft 11in6ft6ft 1in6ft 2in6ft 3in6ft 4in6ft 5in6ft 6in6ft 7in6ft 8in6ft 9in6ft 10in6ft 11in7ft7ft 1in7ft 2in7ft 3in7ft 4in7ft 5in7ft 6in7ft 7in7ft 8in7ft 9in7ft 10in7ft 11in8ftWould you like to have your session(s) in your residence or outdoors?*IndoorsOutdoorsWould you like for us to suggest a location near your residence?*YesNo What equipment do you already have available?Tell us about your exercise habits.What are your fitness and wellness objectives? Reservation DatePlease provide two preferable date and time, for your first session. We will get back to you by email within 12 hours. Please allow 24 hours before your desired service to ensure your booking. If you are requesting a service in less than 24 hours from now, we will do our best to fulfill it.1st Preferred Date* Time : HH MM AM PM 2nd Preferred Date* Time : HH MM AM PM How many Personal Training Sessions would you like?*please selectOne-off (01 Hr)(130€ /session)10 Pack (10 Hrs)(115€ /session)20 Pack (20 Hrs)(105€ /session)How many Yoga Sessions would you like?*please selectOne-off (01 Hr) (130€ /session)10 Pack (10 Hrs) (115€ /session)20 Pack (20 Hrs) (105€ /session)How many Pilates Sessions would you like?*please selectOne-off (01 Hr)(130€ /session)10 Pack (10 Hrs)(115€ /session)20 Pack (20 Hrs)(105€ /session)How many Massage Sessions would you like?*please selectOne-off (01 Hr)(150€ /Hour)One-off (1.5 Hrs)(195€ /1.5 Hour)5 Pack (5 Hrs)(135€ /Hour)5 Pack (7.5 Hrs)(175€ /Hour)10 Pack (10 Hrs)(120€ /Hour)10 Pack (15 Hrs)(155€ /Hour) Your Name* First Last Email Address* Address* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone Number*PhoneThis field is for validation purposes and should be left unchanged. 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