Name *Email Address *Phone *Street Address *CityZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweSelect Location and Course *Select Location and CourseSTOTT PILATES Advanced Reformer – June 2026 – Core ChelseaSTOTT PILATES Intensive Reformer – June 2026 – Core WindsorSTOTT PILATES Intensive Reformer – July 2026 – Core ChelseaSTOTT PILATES Intensive Matwork Plus – September 2026 – Core WindsorSTOTT PILATES Intensive Reformer – September 2026 – Core ManchesterSTOTT PILATES Intensive Matwork Plus – September 2026 – Core ChelseaSTOTT PILATES Intensive Stability Chair – September – Core ChelseaSTOTT PILATES Intensive Reformer – September – Core ChelseaSTOTT PILATES Intensive Matwork Plus – September 2026 – Core ManchesterSTOTT PILATES Intensive Reformer – October 2026 – Core WindsorSTOTT PILATES Injuries and Special Populations – October 2026 – Core ChelseaSTOTT PILATES Intensive Matwork Plus – October 2026 – Core ChelseaSTOTT PILATES Intensive Barrels – October 2026 – Core ChelseaSTOTT PILATES Advanced Cadillac – October 2026 – Core ChelseaSTOTT PILATES Advanced Chair – October 2026 – Core ChelseaSTOTT PILATES Advanced Barrel – October 2026 – Core ChelseaSTOTT PILATES Intensive Reformer – October 2026 – Core ManchesterSTOTT PILATES Intensive Matwork Plus – November 2026 – Core ManchesterSTOTT PILATES Intensive Matwork Plus – October – Core WindsorSTOTT PILATES Intensive Matwork Plus – 6 November 2026 – Core WindsorSTOTT PILATES Intensive Reformer – 9 November – Core ChelseaSTOTT PILATES Intensive Reformer – 16 November – Core ChelseaSTOTT PILATES Intensive Reformer – 21 November – Core WindsorAdvanced/ICCB Course Applications: * Space is limited and applications will be processed on a first come-first-served basis. Space will ONLY be reserved upon the receipt of application and a deposit of the course fee. Fees for courses and workshops may not include required course materials, applicable taxes or exam fees.Prices are subject to change without notice. For full details on cancellation and change policies contact the training facility. Applicants under the age of 18 are subject to registration approval by the Senior Program Director, Toronto Corporate Training Center. Some courses have prerequisites. Additional information may be required once application is received,i.e. a detailed resumé / CV outlining education and experience and two letters of references. Relevant Experience *Relevant Education *Describe anatomy education *Personal Information *Why did you choose Merrithew?If the student cancels their workshop or course enrollment less than four weeks prior to the start date of the workshop or course, there will be no refund of monies paid. Deposit is non refundable. Certify your information *I certify that the information provided on this application is accurate.I understand that failure to provide accurate information may result in my removal from the certification program.I understand I am required to attend all hours *YesNon Refundable Deposit *I understand and agree that once my application is accepted, the deposit is strictly non-refundable. I further understand that if I defer my course place for any reason, a new deposit will be required to secure a place on a future course.Payment Options *All course balances must be paid in full no later than one month prior to the course start date, regardless of whether payment is made in instalments or as a single payment. Selecting a payment plan in Momence does not extend the final payment deadline. Failure to settle the full balance by the due date may result in the loss of your place on the course. By selecting a payment plan option, you acknowledge and agree to these terms.Signature *Please sign that you have read and understand all information on this form including non refundable deposit and course deferralsYour browser does not support e-Signature field.Consent *Yes, I agree with the privacy policy and terms and conditions.Send Message