I understand that the process of doing Pilates may involve dialog, questions regarding my health status and history of previous injuries, and that my clear and complete responses are required to ensure the quality and safety of the exercises.
I understand that Pilates involves unique exercise apparatus that I may not be familiar with; that the apparatus is constructed of moving parts, carriage, pedal, foot bar, springs and straps that move with my body; and that the movement of my body and the apparatus could result in the possibility of my falling or being trapped by the movie parts. I understand that my clear and focused involvement is necessary for my physical safety.
The instructor may guide me or ask me to move my body in ways that are new to me, and it is possible that during these movements, pain or injury may occur or be exacerbated. I understand that it is my responsibility to communicate clearly and promptly with my instructor, telling the instructor of any pain, discomfort or physical limitations.
I RECOGNIZE AND UNDERSTAND THAT IT IS MY SOLE RESPONSIBILITY, WITH OR WITHOUT OUTSIDE MEDICAL EVALUATION, TO DETERMINE MY FITNESS FOR PARTICIPATION IN PILATES.
I recognize and understand that there are risks of physical injury inherent in participation in any physical exercise program and that those risks are increased with the use of exercise apparatus and the unique apparatus used in Pilates instruction.
I also understand that the exercise apparatus, particularly the moving parts, may be subject to fatigue or other wear and tear that may not be immediately apparent to me, the instructor or Pilates Haven. I knowingly assume the risks involved in taking Pilates instruction, using Pilates apparatus and exercising at this location.
AFTER HAVING READ THIS WAVER AND KNOWING THESE FACTS, AND IN CONSIDERATION OF ACCEPTANCE OF MY PARTICIPATION AND PILATES HAVEN PROVIDING ME WITH PILATES INSTRUCTION, I AGREE, FOR MYSELF AND ANYONE ENTITLED TO ACT ON MY BEHALF, TO WAIVE ANY RIGHT TO SUE PILATES HAVEN, ITS INSTRUCTORS, EMPLOYEES, AND AGENTS AND RELEASE THEM AND HOLD THEM HARMLESS FROM ANY FUTURE CLAIM, RESPONSIBILITY, LIABILITIES, DEMANDS, OR CLAIMS OR ANY KIND ARISING OUT OF MY PARTICIPATION IN PILATES HAVEN TRAINING, PROGRAMS AND/OR EVENTS. I UNDERSTAND THAT THIS WAIVER IS INTENDED TO BE AS BROAD AND AS INCLUSIVE AS PERMITTED BY THE LAWS OF THE STATE OF CONNECTICUT.
By my signature I indicate that I have read and understand this Waiver of Liability. I am aware that this is a waiver and a release of liability and I voluntarily agree to its terms.
I am at least 18 years of age or my parent or guardian is signing this waver form on my behalf.