New Client Info & Waiver - Adore Your Core Pilates

NEW CLIENT INFORMATION FORM

Please complete and submit this form so that we can contact you to provide further information.

All new clients are welcome to schedule 2 free trial classes:

*1 free Reformer class and 1 free Mat/Barre class.

FULL NAME*

EMAIL*

example@example.com

ADDRESS*

PHONE NUMBER*

Please enter a valid phone number.Format: (000) 000-0000.

DATE OF BIRTH*

Date

How did you hear about Adore Your Core?*

BeginnerIntermediateAdvanced

Reformer Classes in StudioMat + Barre Classes in StudioMat + Barre Classes Online1-on-1 Personal Training

Are there specific class times that are ideal for you?

Are there any medical health concerns that could impact your participation in our fitness classes? If so, please describe.

Do you have any specific questions about the studio?

YesNo

Emergency Contact Name & Phone Number:*

You, the Client, are aware that there are risks associated with participating with fitness activities and exercise. Your participation in any current and future studio and online classes is completely voluntary, and you freely accept and fully assume all responsibility for all risks, and all possibilities of personal injury, death, property damage or loss to yourself or any other person as a result of your participation in fitness activities with Shayna Thompson at Adore Your Core Pilates. You understand that these classes are not suitable for pregnancy unless modified appropriately, and that Shayna Thompson must be informed of any current or future pregancies as they arise. You understand that it is your responsibility to consult your physician prior to participating in exercise at Adore Your Core Pilates.

I have read and understand that I am waiving my rights to claim for damages.

TODAY'S DATE:*

Date

Thank you for your interest in our studio!

I look forward to connecting with you soon.

Sincerely,

Shayna Thompson

Owner & Certified Pilates Instructor

705-309-3098