Pilates Mat Class Registration Form
Norcross Class - Thursdays 5:15pm to 6pm; Buford Class - Fridays 10:30am to 11:15am
Name
*
First Name
Last Name
E-mail
*
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
Format: (000) 000-0000.
Preferred Class
*
Please Select
Norcross Class - Thursdays at 5:15pm
Buford Class - Fridays at 10:30am
The cost per class is $15 and payments should be made ahead of time. Please note credit card payments incur a 3 percent processing fee. Cancellations can be made by providing a 24-hour notice.
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I agree
Please list any questions or comments.
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.
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I agree
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