Full Waiver of Release and liability

Waiver

Please fill out the following form
in order to participate in any Aplomb Pilates activity .

First name

Last name

Date of Birth

Phone

Have you ever taken a Reformer Pilates Class ?

Yes

Do you have ANY medical issues, past or present

Yes

If you answered yes to any question, please elaborate in detail

Initials or Parent or Guardian Initials

I acknowledge this release from liability for accidental injury or illness in which I may incur as a result of participating in any phyiscal activity. I assume all risk connected and consent to participate in this program. I agree to disclose my phyiscal limitations, disabilities, ailments, or impairments that may affect my abilty to participate in this program.

I agree that my entering my contact information that i am opting in to communication from Aplomb Pilates

I agree to the full Waiver of Release and Liability. (Link Below)

Full Liability Terms and Conditions

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Full Waiver of Release and liability

Waiver

Full Liability Terms and Conditions

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