IMPORTANT INFORMATION
I will advise Nicolette, before commencing any session if, for any reason, my health or my ability to exercise changes.
If you’re new to movement practice, it is inadvisable to practice between during the first trimester of pregnancy (between weeks 8 to 14 of pregnancy), unless by special arrangement with Nicolette. It is also wise to wait six weeks after the birth before resuming exercise.
Movement practices are very safe but, as with all forms of physical exercise, it is prudent to consult your doctor before starting sessions. If you are unsure you must consult your doctor.
I confirm that I have checked with my Doctor about any of the health problems detailed above and my Doctor has agreed for me to participate in Movement practices and that I may exercise.
These sessions are not a substitute for medical counselling or treatment. If you have any doubts about the suitability of the exercises, you should refer back to your medical practitioner.
I will inform Nicolette of any changes to my health which may affect my ability to exercise, as detailed in the health questionnaire above. Nicolette can accept no liability for personal injury related to, but not limited to, participation in a session if:
- Your doctor has, on health grounds, advised you against such exercise
- You fail to observe instructions on safety or technique
- Such injury is caused by the negligence of another participant in the class/studio.
Nothing in this disclaimer will limit or exclude any liability that may not be limited or excluded by applicable law.
If attending in person, I understand there may be an element of hands-on tactile assists or adjustment of the exercises and I hereby consent for Nicolette to work in this way. I understand that I can request a hands-off approach if I wish.
If working virtually, I confirm I have an area to work in that is free of obstacles or hazards.
I confirm that I have read and understood the above advice and that the information I have given is correct.
I confirm that I have read, understood and am agreeing to the terms & conditions and cancellation policies for Nicolette van Bree.
https://www.nicolettevanbree.com/terms-of-service-membership
I confirm that Nicolette may use the contents of this form and any other information I may later provide for teaching purposes and that this information:
- will be used in confidence and stored securely
- will not, in any circumstances, be shared with a third party without my written consent, unless that party is another teacher who will teach me
- may be retained by Nicolette for a period of time such as complies with professional, legal and insurance requirements that they must fulfil.
I have read, understood and accurately completed this questionnaire.
Any questions I had were answered to my complete satisfaction, and I confirm that I am voluntarily engaging in an acceptable level of exercise, my participation involves a risk of injury, and I accept personal responsibility for any damages or injury that I might suffer.
NOTE: If I have answered YES to one of the questions, I have sought medical advice and, my Doctor has agreed that I may exercise.
MEDICAL DISCLAIMER
Any information or guidance I provide is not a substitute for the consultation, diagnosis, and/or medical treatment of your doctor or healthcare provider.
You must not rely on any information or guidance I provide you with as an alternative to medical advice from your doctor or healthcare provide, and I expressly disclaim all responsibility and shall have no liability for any damages, loss, injury, or liability whatsoever suffered by you or any third party as a result of your reliance on any information or guidance we provide you with.
If you have any specific questions or concerns about any medical matter, you should consult your doctor or healthcare provider as soon as possible.
If you think you may be suffering from any medical condition, you should seek immediate medical attention from your healthcare provider. Do not delay seeking medical advice, disregard medical advice or discontinue medical treatment because of the information or guidance we provide.
By signing this document, I assume all risk for my health and well being and fully release Nicolette van Bree-Green and hold them harmless for any responsibility or cost including, solicitor fees or damages. I acknowledge that my agreement to this release applies to today and each time I complete a workout from Nicolette van Bree-Green. I hereby acknowledge that I assume all risk for my health and well being and fully release Nicolette van Bree-Green from all liability.
Nothing in this disclaimer will limit or exclude any liability that may not be limited or excluded by applicable law.
ALL INFORMATION WILL BE TREATED IN THE STRICTEST OF CONFIDENCE.NOTE: In May 2018, a new European law called the General Data Protection Regulation (GDPR) became law. The purpose of this law is to give people more control over how organisations use their data. A copy of the Privacy Policy is available on request.