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Pre-Activity Form

This form is a requirement for everyone to complete before they participate in any activity with Sun Pilates.

Personal Information

Minors must have the consent of a parent/guardian please fill out the details at bottom of form

Health Questionnaire

Please check any of the following that apply to you...

Extra Stuff

From time to time we take photos for advertising. This allows us to show potential clients what to expect and is a vital part of building our small business. Although we understand some may not be comfortable with this, please advise Katy when you come to class and your image will be blurred if you are present in any photos. Thank you!

Agreement of release & waiver of liability

I declare that I am over 18 years of age (or have otherwise provided parental consent) and acknowledge and understand that I have voluntarily chosen to participate in the classes and activities offered by Sun Pilates.

I acknowledge and agree that the workouts are a recreational sports activity and may involve strenuous physical activity including, but not limited to stretches, lifts, use of props, use of reformer machines, gymnastic movements, strenuous bodyweight exercises and other strenuous activities that I am not obliged to perform, nor am I obliged to participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during classes.

I understand that there are inherent risks in all aspects of physical exercise, and I acknowledge that I have been informed of the possible strenuous nature of training. I agree that prior to my participation I will inform Sun Pilates of any known medical conditions or factors that may place me at risk. Sun Pilates may request a medical release from my medical practitioner prior to participation. I will inform Sun Pilates of any symptoms before, during and after participation in a Sun Pilates class.

I also understand that if I am a prenatal or postnatal client, that I must consult with my physician and receive clearance to perform physical exercise.

I release Sun Pilates and its staff, employers and agents from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in the classes, activities and services provided by Sun Pilates.

I agree to hold harmless and indemnify Sun Pilates and its employees and agents from any and all liability for any damage to the property of, or personal injury to, any third party, resulting from my participation in any program, activity or service provided by Sun Pilates. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full force and effect.

In checking the box below I declare that I have advised Sun Pilates of any injury, back, neck or joint pain, restricted movement, heart issues, asthma, or high or low blood pressure, arthritis, slipped or bulging vertebral disk, pelvic floor conditions, dizziness, diabetes, epilepsy, hernia, bone degeneration, high cholesterol, allergies or chronic illness.

 

I also declare that I have notified Sun Pilates if I am pregnant and/or have given birth in the last 12 months, or if I have undergone surgery in the past 12 months.

If any of the above health conditions apply to you, please include full details in this form.

Sun Pilates shall not undertake any obligation (whether contractually, at common law or otherwise) to advise or treat me in relation to any of the matters referred to in the preceding paragraph. I acknowledge that it is my obligation and mine alone to take responsibility for my health and wellbeing during any type of exercise I undertake with Sun Pilates.

By checking this box below, I acknowledge that Sun Pilates shall not be liable or responsible to me for articles lost, damaged or stolen from any of its studios.

I understand that from time to time Sun Pilates and/or its employees or contractors may film or photograph the classes, activities or services provided by Sun Pilates. By checking the box below, I permit Sun Pilates and its licensees or assignees to use, publish, reproduce, distribute, create derivative works of, perform, display and/or otherwise exploit my name, image, voice and likeness, either complete or in part, alone or in conjunction with any wording, for uses including publicity and/or merchandising and/or editorial purposes in any country in connection with any part of the business of Sun Pilates in any manner and in all forms of media whether now existing or developed in the future. I hereby waive any right to inspect and approve the photographs or videos or the printed/digital/electronic matter that may be used in conjunction with them now or in the future, regardless of whether that use is known or unknown. I waive any right to copyright or royalties or other compensation from or related to use of the photography or videos or adaptations thereof.

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

I acknowledge that this waiver may be pleaded in response as a bar to any legal proceeding taken by me or on my behalf.

Please note: terms and conditions of this release form and waiver of liability are subject to change without notice.

All persons under 18 years of age must have this form signed on their behalf by a parent or guardian before attending a Sun Pilates class. Once the parent or guardian has signed the waiver, persons under 18 years of age may attend Sun Pilates classes.

Parent/Guardian Details

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