Lunchtime - Crunchtime Registration Form
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone
*
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company
*
Please list any questions or topics you would like covered in the session.
By participating in any in-person or virtual session provided by Envolée Pilates LLC, you consent to, and agree to release Envolée Pilates LLC from liability according to, these terms. Unless Envolée Pilates LLC notifies you otherwise, this waiver and release will apply to all sessions undertaken by you with Envolée Pilates LLC. You acknowledge that: you understand that the sessions are a form of physical activity and that there are inherent risks in undertaking any form of physical exercise;, you have disclosed, or will disclose to Envolée Pilates LLC prior to the session commencing, any pre-existing conditions that may place you at higher risk of injury or inhibit your ability to participate in a class this includes, but is not limited to: injuries, pain or recent surgery; pregnancy or if you have recently given birth; or respirator or heart conditions or high blood pressure. You will notify Envolée Pilates LLC if you experience any pain throughout the session and will immediately stop participating in the session if requested by the instructor to do so; Based on information you provide, Envolée Pilates LLC may decide not to allow you to participate in a session, or may require you to provide a medical certificate affirming that you are able to participate in a session, in the instructor’s sole discretion; you are solely responsible for ensuring that your physical environment is suitable for your participation in any session. To the extent permitted at law, you release and hold Envolée Pilates LLC (and where applicable its, directors, employees and representatives) harmless from any liability, cost, expense, damages or claims (including claims of negligence) arising from or which may be suffered or incurred in connection with your participation in any sessions provided by Envolée Pilates LLC. I acknowledge to the best of my ability, that I am in good health and have no known medical problems that would restrict my ability to participate in this exercise program.
*
I agree
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