Online Pilates Class Waiver

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Please fill out this form before attending my class. You only need to fill it out once.

Name:

Email Address:

I agree to participate in a virtual Pilates classes hosted by Carol Doran (Holistic Pilates & Fitness)

Yes

Clear selection

I understand that physical training and exercise have varying effects on individuals based upon their size, age, physical condition and/or state of health. I further understand it is my sole responsibility to determine my physical fitness for any physical training or exercise based on my physical condition. If you have any concerns about whether a Pilates class is suitable for you and any physical conditions you may have, please contact your GP prior to taking part.

Yes

Clear selection

I declare that I am in good health and suffer from no physical condition that would prevent me from participating in the class. I agree to assume full responsibility for any injuries or damage which I incur while participating in the class. I agree to notify Carol, before the class of any pre-existing medical conditions which may or may not impact on my participation in the class. You can reach me at carol@yourgrowthpotential.com

Yes

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I hereby agree that I will indemnify and hold harmless Carol Doran trading as Holistic Pilates & Fitness from and against any and all actions, costs, claims, losses, expenses and/or damages, including legal fees, that I might have now or in the future have, for any personal injuries resulting from my participation in these Pilates classes.

Yes

Clear selection

Would you like to receive my monthly newsletter via email? I provide information to meld mind, body and soul, motivation, support, mindset hacks and there's a little woo woo inside too!

Yes please

No thanks

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I acknowledge that I have read this document carefully and understand its meaning, and I voluntarily release the above-named parties from all liabilities arising out of my participation in these classes.

Yes

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Date of agreement:

YYYY

Signature:

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