Core & Calm Pilates Studio Liability Waiver & Release Form

Participant Information

Full Name: __________________________________________

Date of Birth: _________________________________________

Phone Number: _______________________________________

Email Address: _________________________________________

1. Acknowledgment of Risks

I understand that participating in Pilates classes involves physical activity, which carries potential risks, including but not limited to muscle strain, injury, or other health-related issues. I confirm that I am voluntarily participating in these classes and assume full responsibility for any risks, injuries, or damages, known or unknown, that might occur as a result.

2. Health Declaration

I confirm that:

·         I am in good health and have disclosed any relevant medical conditions, injuries, or limitations to the instructor before class.

·         I will consult a physician before starting any new exercise program if necessary.

·         If I experience any pain, dizziness, or discomfort during the class, I will stop immediately and inform the instructor.

3. Pregnancy Disclosure

☐ I am currently pregnant.

☐ I am not pregnant.

If pregnant, I confirm that:

·         I have consulted my doctor and received clearance to participate in Pilates classes.

·         I understand modifications may be necessary and will inform the instructor of my stage of pregnancy and any restrictions.

4. Liability Release

In consideration of being permitted to participate in Pilates classes at Core & Calm:

·         I release, waive, and discharge Core & Calm, its owners, instructors, and staff from any and all liability, claims, demands, or causes of action arising out of my participation.

·         This release includes any claims resulting from negligence but does not include claims arising from gross negligence or intentional misconduct.

5. Photography & Media

I understand that photos or videos may be taken during classes for promotional purposes.

☐ I consent to the use of my image for marketing.

☐ I do NOT consent to the use of my image.

6. Cancellation & Booking Policy

I understand that cancellations must be made within the studio’s stated policy. Late cancellations or no-shows may be charged.

7. Agreement

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

Signature: _________________________________________

Date: ___________________

Emergency Contact Name & Number: _____________________________