Please note that there are two forms below. You will need to click ‘submit’ for both forms. If you have trouble, please contact me at zoe@zoespilates.com
Health History & Waiver or Liability
Waiver—Zoe’s Pilates, LLC
Please fill out and submit the form below:
This is a legally binding release, waiver, indemnification of liability, and express assumption of risk.
PLEASE READ IT CAREFULLY BEFORE SIGNING!
Participant understands that Pilates, and other fitness programs (hereinafter referred to as “Pilates” involve physical exertion, are strenuous, and that injuries may occur when participating in such activities. Participant understands that it is his/her responsibility to consult with a physician prior to and regarding participation in Pilates. Participant represents and warrants that he/she has no physical or mental condition that would prevent full participation in Pilates. Participant agrees to inform his/her instructor immediately of any physical or mental condition that would prevent his/her full participation in Pilates. In consideration for participation in Pilates, receiving instruction in a group, private or semi-private lessons or workshops and using the equipment and facilities, Participant hereby agrees to release, hold harmless and indemnify Zoe’s Pilates, and it’s owner from any and all claims by or on behalf of Participant against Zoe’s Pilates arising directly or indirectly out of Participant’s participation in Pilates, use of any Zoe’s Pilates equipment or facilities, and participation in any class, program, or workshop offered by Zoe’s Pilates. This release includes claims and liabilities arising from any cause whatsoever, including, but not limited to, negligence on the part of Zoe’s Pilates. This release is binding upon Participant, and Participant’s heirs, assigns, and legal representatives. In signing, I do hereby give Zoe’s Pilates the right to use my picture, portrait, or photograph in all forms and media and in all manners, including advertising, for publication, or any other lawful purposes. If signing on behalf of a minor participant, Parent/Guardian accepts full responsibility for any medical expenses incurred due to the minor’s participation in Pilates and agrees to release, hold harmless, and indemnify (including costs and attorney’s fees) Zoe’s Pilates for any claims brought by or on behalf of the minor. Cancellation/Refund Policy: 24-hour advance notice is required to change or cancel and appointment without charge. Appointments may cancelled by phone, email, or in person. All purchases are nonrefundable. By signing in the boxes below, you agree that you have read the above release and waiver of liability and fully understand its contents—and voluntarily agree to the terms and conditions stated above.