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  • Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*

  • Do you feel pain in your chest when you do physical activity?*

  • In the past month, have you had chest pain when you were not doing physical activity?*

  • Do you lose your balance because of dizziness or do you ever lose consciousness?*

  • Do you have a bone or joint problem that could be made worse by a change in your physical activity?*

  • Is your doctor currently prescribing drugs for blood pressure or heart conditions?*

  • Do you know of any other reason why you should not do physical activity?*

  • Have you taken part in a Pilates class before?

  •  Participant Consent and Liability Waiver

    I confirm that the information I have provided in this form is accurate and complete to the best of my knowledge. I understand that it is my responsibility to inform the instructor of any changes to my health, medical conditions, or physical limitations that may affect my ability to participate safely in Pilates sessions.


    I acknowledge that Pilates involves physical movement and exercise that may carry the risk of injury. I choose to participate voluntarily and fully accept all responsibility for any risk, injury, or harm that may occur as a result of my participation. 

    I understand that the instructor is not a medical professional and cannot diagnose, treat, or offer medical advice. Any guidance provided during the session is for general fitness purposes only and should not replace advice from a qualified healthcare provider.


    By signing this form, I confirm that I am participating entirely at my own risk. I hereby waive and release the instructor from any and all liability, claims, or demands for injuries, damages, or losses arising from my participation in any Pilates sessions. 

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