On Pointe Barre & Fitness Liability Waiver & Release Form
Fill out the Release and Waiver Form (Prior to your FIRST virtual or in-person class or personal training session)

Note: You MUST be 18 years or older to participate in the class. If you are under 18, you must be directly supervised by an adult older than 18 years old. That adult will also need to complete the waiver.

This agreement is by and between On Pointe Barre & Fitness, LLC and the individual whose name is signed and printed below (herein referred to as the participant).

I hereby agree to the following:
I have enrolled in a program of physical activity by On Pointe Barre & Fitness, LLC. I represent and warrant that I am physically fit and I have no medical condition or disability that would prevent my full participation in the fitness classes and/or training programs.

 I am participating in fitness classes and/or training programs, offered by On Pointe Barre & Fitness, LLC, and during which I will receive information and instruction about said fitness classes and/or training programs. I recognize that the class and/or training program requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

In consideration of being permitted to participate in a training program or fitness class, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.

In further consideration of being permitted to participate in a training program or fitness class by On Pointe Barre & Fitness, LLC,
 I, for myself, my heirs and assigns, knowingly, voluntarily, and expressly waive any claim I may have against On Pointe Barre & Fitness, LLC (On Pointe Barre & Fitness, its employees, owners) for damages, and injury, including death that I may sustain as a result of participating in these fitness classes and/or training programs.

Training and class packages are non-refundable. Training & class packages offered with set dates will expire at the end of the session, whether or not all trainings/classes were used, except in the case of instructor-canceled trainings or classes, in which case there will be make-up dates.  

I authorize On Pointe Barre & Fitness, LLC  to copyright and publish all photographs and videos, in print or electronic format, in which I appear or speak, that are taken by or for On Pointe Barre & Fitness, LLC. I agree that On Pointe Barre & Fitness, LLC may use, edit, reproduce such photographs and videos, or share them with others for any purpose related to the promotion of On Pointe Barre & Fitness, LLC and its related programs and activities. I release all claims against On Pointe Barre & Fitness, LLC and others with respect to the copyright, publication, or use of such photographs or videos, including any claim for compensation related to their use.

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. This agreement remains in effect for as long as I participate in any fitness classes offered by On Pointe Barre & Fitness, LLC.
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Email *
Your name (first & last) *
Phone number *
Date of birth *
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DD
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I am 18 years of age older *
Emergency contact name *
Emergency contact phone number *
Are there any medical conditions/special needs I should be aware of? *
I understand and accept the conditions described above. *
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