Health + Fitness Waiver

Please read and sign this Health + Fitness Waiver before participating in any activities at Charlotte Blake Pilates.
 

I UNDERSTAND that participating in pilates, training, health and fitness classes, programs, or workshops offered by Charlotte Blake during which I will receive information and instruction about health and fitness. I recognize that fitness programs require physical exertion, which may be strenuous and may cause physical injury and I am fully aware of the risks and hazards involved.
 

I UNDERSTAND that it is my responsibility to consult with a physician prior to and regarding my participation in pilates, training, health and fitness classes, programs, and workshops. I represent and warrant that I am physically fit and I have no medical condition which would prevent my full participation in pilates, training, health and fitness classes, programs, or workshops.
 

I UNDERSTAND that in consideration of being permitted to participate in pilates, training, health and fitness classes, programs, or workshops, 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 the pilates, training, health and fitness classes, programs, or workshops, I knowingly, voluntarily, and expressly waive any claim I may have against Charlotte Blake for injury or damages that I may sustain as a result of participating in the program.
 

I UNDERSTAND that I, my heirs, or legal representative forever release, waive, discharge, and covenant not to sue Charlotte Blake for any injury or death caused by negligence or other acts. I have read the above release and waiver liability and fully understand its contents. I voluntarily agree to the terms and conditions above. I further certify that the above information is correct and accurate.
 

Acceptance of Terms *
Name *
Name
Date *
Date

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