I will receive information and instruction while participating in the class with Davita Paul, Davita Pilates. I recognize this class requires physical exertion, which may be strenuous and may cause physical injury and I am fully aware of the risks and hazards involved. *

Yes

I understand it is my full responsibility to consult with a physician prior to and regarding my participation in this class or any other activity associated with Davita Paul, Davita Pilates. I represent and warrant that I am physically fit and I have no medical conditions, which would prevent my full participation in the class. If I have any medical conditions they are listed clearly and accurately on the Client Information Form. *

Yes

I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I may incur as a result of participating in the program with Davita Paul, Davita Pilates. *

Yes

I knowingly, voluntarily, and expressly waive any claim that I may have against Davita Paul, Davita Pilates, or instructors associated with Davita Pilates for injury or damages that I may sustain as a result of my participation. *

Yes

Heirs, my legal representatives, or I, forever release and waive any liabilities against Davita Paul, Davita Pilates and its instructors for any injury or death incurred by my voluntary participation in this class/program. *

Yes

An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the CDC, senior citizens and anyone with underlying medical conditions are especially vulnerable. I voluntarily assume all risks related to exposure to COVID-19. *

Yes

I HAVE READ THE ABOVE RELEASE & WAIVER OF LIABILITY AND FULLY UNDERSTAND ITS CONTENTS. I VOLUNTARILY AGREE TO THE TERMS AND CONDITIONS STATED ABOVE. *

Yes

Cancellation Policy and Refunds *

A 48-hour cancellation policy is enforced for all sessions. While we understand there are some unavoidable circumstances, late cancellations, re-scheduling within 48-hrs, or no-shows will be charged the full session fee. If you are contagious, please be considerate and notify your teacher and do not come into the studio. Refunds for sessions or packages are not administered after payment and will expire within 1 year from date of purchase. Sessions without payment on file may be canceled.

I agree to the 48-hr cancellation policy

I agree to the expiration/refund policy

I attest I am cleared for physical activity and take full responsibility for my physical condition

I agree to all of the above *

Yes

Full Name *

First Name

Last Name

Date *

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