The Barre New Client Intake Form
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Email *
Phone Number *
First Name *
Last Name *
How would you describe your current level of fitness? *
How happy are you with your body? *
1 is not happy at all to 5 which is happy.
Have you ever done barre before? *
What are you hoping to get out of your fitness journey? *
Select all that apply
Required
Is there anything you feel is holding you back from your goals? *
Everyone has something that has the potential to derail their efforts. What obstacles do you foresee standing in your way? *
Required
How often do you think you like to attend classes a week? *
If you can imagine what your life will look like when you achieve your aforementioned goals, how will you feel? How will your life change? What will you do? *
Are you pregnant or recently had a baby? *
Do you have injuries, sensitivities or pain in any parts of your body or any medical conditions that could effect your ability to participate in class? *
Examples but limited to: asthma, arthritis, broken bones, surgeries, unexplained dizziness, diastasis recti, wrist / shoulder / hip / knee / ankle sensitivity, stroke, cancer, epilepsy, etc
What is your t-shirt size? *
How did you hear about us? *
Is there anything else you'd like to share? *
Please share anything else that might be helpful for us to know. If you were referred, please also let us know by who here. :)
Release from Liability
I hereby consent to participate in The Barre fitness classes and activities that may include barre fitness which is comprised of ballet, pilates, yoga, weight lifting, stretching, and aerobic exercise.

I realize that The Barre is not suited for everyone; it requires physical exertion that may be strenuous and may cause physical injury or death, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in The Barre fitness classes. I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in The Barre fitness classes. Unless I notify the instructors that I am unable to participate for some reason, I will be allowed to participate in all class activities.

I am aware to reduce the risks involved, a consultation with a physician prior to beginning the class is strongly suggested. Pregnant women should consult a physician before beginning any exercise program. I understand the instruction presented in the The Barre classes is no way a substitute for medical care. I understand the risks of such a class and technique, and I freely and voluntarily choose to participate in The Barre fitness classes.

In consideration of being permitted to participate in The Barre fitness classes, I agree to assume full responsibility for any risks.

In further consideration of being permitted to participate in The Barre fitness classes, I agree to hold harmless The Barre and its officers, directors, instructors, employees, successors, assigns, and legal representatives (collectively the “Releasees”) from any and all claims, demands and liability pertaining to personal injury, death, property damage and any other loss resulting in any manner from my participation in The Barre classes and technique.

This Release shall be in force regardless of whether the loss or injury was caused by me, the Releasees (except Releasees’ intentional misconduct) or other persons or entities.

As a client of The Barre I pledge to participate in classes strictly as a member, will not to deliberately copy choreography, format or style for own use and not recruit any clients or instructors.

By checking the box, you have read, understand and agree to the above the above Waiver and Release.
I have read, understand, and agree to comply with the above terms and any other policy introduced by The Barre and as notified in studio and e-mail. *
Required
Cancellation Policy
Cancellations must be made a minimum of 8 hours prior to class in order to allow those on the waitlist enough notice that they have been added to the class schedule. Late cancellations or no shows after the cut off time will results in a loss of a class for drop ins, class packs, 4x Month and 8x Month membership options. A $5 charge will be applied for late cancels and a $10 charge for no shows with the unlimited Barre Flight trial and Top Shelf Memberships options.
It is assumed that by being on the waitlist, you want to take the class if you can get in. Please remove yourself from the waitlist 8 hours prior to the start of class if you no longer want to take the class. Clients that are automatically added to the class 8 or more hours prior to the beginning of class will be held to the late cancelation and no show policy. We allow a 5 minute grace period to be able to be let into class late, otherwise you are considered a late cancel.

Exceptions will be considered to our policy only in emergency, injury, illness situations. A doctor's note is necessary and is left to the discretion of the owners whether or not a fee will be made. We completely understand that life happens and it is not always possible to follow through on every commitment. There are no hard feelings for a cancellation or a miss, we simply must maintain the integrity of our policy.

If you find that you become ill/injured and cannot attend class, we encourage you to log into our online scheduler and cancel upcoming classes that you have scheduled so that you are not charged for or do not lose those classes.

We have a 24-hour cancellation policy on all private appointments, specialty events and workshops. If you do not cancel within this time frame you will be charged in full. We may offer free classes for our clients. In the event that you do not show or late cancel you will be charge a $10 fee.

We commit to providing a kickass workout rain, shine or snow, as long as it's safe! The safety of our clients is very important to us, so we will make sure to watch the weather and road reports and make class cancellations if necessary. With that, we will strive to make cancellations no later than 1 hour ahead of class start time when weather is involved. We will post cancellations on Facebook and Instagram and you will also be notified through email. We are not able to reach out to everyone individually, so please check in on social media, emails and the app prior to making the trip.

As long as we're open, our late cancellation/no show policy will be in effect. As stated above, we will make exceptions to our policy in emergency, illness and injury situations. Please plan ahead and try to give yourself extra time for shoveling, safe driving and parking. We can't make an exceptions to our policy every time it snows, it is New England after all.

Sometimes life happens and you need to take a short break from us. We offer every membership the ability to pause their membership for 30 days each year.
I have read, understand, and agree to comply with the above terms and any other policy introduced by The Barre and as notified in studio and e-mail. *
Required
Health Declaration
I declare the above information is accurate and I agree to comply with all in-studio safety precautions. I waive, release and indemnify The Barre and its Instructors from any liability relating to my participation in these classes.
I AGREE (please enter your Name and today's Date) *
A copy of your responses will be emailed to the address you provided.
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