Aura Pole Studio Event/Workshop Waiver
This form is here to keep everyone safe, informed, and ready to have fun! Before we get spinning, slinking, and strutting our stuff, we need your details and a quick acknowledgement that pole dancing involves physical activity. By signing this form, you’re letting us know you're good to go, understand the risks, and are here for a good time (safely!).
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Date of Birth
-
Month
-
Day
Year
Just to confirm you’re legally allowed to be this fabulous.
Do you have any medical conditions, injuries, or physical limitations we should know about?
*
Yes
No
If yes, please provide details
I give permission for Aura Pole Studio to use photos/videos taken during the workshop for promotional purposes (social media, website, etc.)
*
Yes, I consent
No, I do not consent
Acknowledgement of Risk
I understand that pole dancing and related fitness activities involve physical exertion and carry inherent risks of injury. I confirm that I am voluntarily participating in this activity and assume full responsibility for any injuries or damages I may sustain.
Liability Waiver
I waive, release, and discharge Aura Pole Studio and its instructors from any claims, liabilities, or damages arising from my participation. This includes any injury, loss, or damage resulting from negligence or otherwise.
Consent & Confirmation
By signing below, I confirm that all information provided is accurate, and I agree to abide by all studio rules and instructions during the workshop.
Signature
Submit
Submit
Should be Empty: