First Name *

Last Name

Email *

Phone

City *

State *

How did you hear about PoleBait?

Which curated experience are you interested in?

Do you have experience with pole dance or fitness?

Yes – group classes

Yes – private sessions

Not yet

If yes, how long have you been training?

What interests you most about training with PoleBait?

Developing artistry and flow

Reconnecting to my body and self-expression

Mastering technique + transitions

Building strength, flexibility, and control

Preparing for performances or competitions

Other

What usually gets in the way of you feeling fully present or free in your body?

How would you describe your readiness to engage in a high-touch, transformational movement and embodiment experience?

How soon would you like to join?

Instagram / Website / Media Link *

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.