Waiver

 

 

Waiver of Liability Prospective Release Form for Pilates on the Court and Pia D'Ambros

 

 

AGREEMENT OF RELEASE & WAIVER OF LIABILITY

1. I will receive information and instruction while participating in the class,

health program or workshop offered by Pilates on the Court. I recognize that this class will require physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in this class or any other activity associated with Pilates on the Court . I represent and warrant that I am physically fit and have no medical conditions that would prevent my full participation in the class, health program or workshop.

3. 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.

 

4. I knowingly, voluntarily and expressly waive any claim that I may have against the Pilates on the Court instructors or Pia D'Ambros for injuries or damages that I may sustain as a result of my participation.

5. Heirs, my legal representatives and I forever release and waive any liabilities

against Pilates on the Court and its instructors or Pia D'Ambros for any injury or death incurred by my voluntary participation in this class, workshop or activity.

I HAVE READ THE ABOVE RELEASE AND WAIVER OF LIABILITY AND

FULLY UNDERSTAND THEIR CONTENTS. I VOLUNTARILY AGREE TO

THE TERMS AND CONDITIONS STATED ABOVE.

 
Name
Name