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Full Waiver of Release and liability
Waiver
First Name
Last Name
Date of Birth
Email
Phone*
Do you have a doctor’s permit to participate in physical activities?
No
Yes
Please specify any health issues or diagnoses past or present. Please indicate if you have taken a reformer pilates class previously and how long you have practiced.
Initials or Parent Guardian Initials
I declare that the info I’ve provided is accurate & complete
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
*I agree that by entering my contact information that I am opting in to communication from Aplomb Pilates
I agree to the Full Waiver of Release and Liability Below
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