Private Client Form

Please complete the form and Pay.

First Name

Last Name

Phone

Beginning Date

Any injuries, or issues to make us aware to inform us about before booking?

INFORMED CONSENT & WAIVER & RELEASE OF LIABILITY:

I have volunteered to participate in a program of progressive exercise and to retain the services of ALL BODIES YOGA PILATES to receive physical training. I intend to assume all risks of injury from my participation. To that end, I acknowledge & agree to all of the following:

Risk of Injury (required)

The muscular conditioning program utilizes the Pilates method. During the exercise, there exists a potential for muscular soreness or stiffness, abnormal blood pressure, fainting, and disorders of heartbeat. I assume all of the foregoing risks and accept personal responsibility for any other injuries I may suffer.

Right to Choose (required)

I know I have the right to choose what exercises I do or do not perform in addition to withdrawing from any exercise at any time.

I accept terms & conditions

Liability (required)

Equipment (required)

ALL BODIES YOGA PILATES has not made any representations to the nature and quality of the facilities or equipment to be used as to any other matter related in my participation in the foregoing activity. I understand that the “RELEASEES” enumerated above or otherwise owe no duty or obligation to me.

I accept terms & conditions

Concent & Waiver Agreement (required)

I have read and understand this INFORMED CONSENT & WAIVER & RELEASE OF LIABILITY & it accurately sets forth my intentions & I agree to be bound by its provisions.

24 Hour Cancellation Policy (required)

All sessions require a 24-hour cancellation notice. You will be charged the full price of your session if you cancel less than 24 hours in advance. This policy is in place to ensure the livelihood and time of the trainer are respected. Thank you for your cooperation in this matter.

I agree to the terms & conditions

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