Pilates Client Liability Waiver & Photo Release
Enter your details, review the required waiver acknowledgments, and optionally consent to photo/video use.
Full Legal Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
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First Name
Last Name
Emergency Contact Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Liability Waiver & Assumption of Risk
Participation in Pilates, fitness classes, wellness activities, and other physical activities involves inherent risks, including but not limited to muscle soreness, strains, sprains, falls, and other injuries. By participating, I voluntarily assume all risks associated with my participation to the fullest extent permitted by applicable California law.
I understand that I am responsible for informing the instructor or event organizer of any relevant health concerns, injuries, physical limitations, or other conditions that may affect my ability to participate safely. I agree to follow all safety instructions and directions provided by the instructor or event organizer.
To the fullest extent permitted by law, I release and hold harmless the instructor, event organizer, and any associated business from claims, liabilities, or damages arising out of or related to my participation in these activities, except to the extent caused by gross negligence or willful misconduct where such limitation is not permitted by law.
I have read and understand the above liability waiver. I acknowledge that participating in private mat Pilates and chair Pilates involves physical exertion and carries inherent risks of injury. I accept full responsibility for my participation and agree to disclose any relevant health concerns or physical limitations to the instructor prior to beginning any session. I release the instructor and facility from any liability for injury or damages resulting from my participation.
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I acknowledge and accept the liability waiver.
Health and Physical Activity Acknowledgment
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I confirm that I am physically able to participate in Pilates and have disclosed any relevant health conditions or physical limitations.
Photo & Video Release
Photographs and video recordings may be taken during classes, events, workshops, and other activities. These images or recordings may be used by the instructor, event organizer, or associated business for social media, websites, marketing, advertising, and other promotional materials.
I understand that my image, likeness, or appearance may appear in this content.
Date of Completion
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
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