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LS Pilates Club Medical Questionnaire & Consent Form - Teen Classes

Lisa Singer - Pilates Instructor

Please fill out the following form on behalf of your child if they are attending my teen pilates classes

CANCELLATION POLICY

24 Hour notice is required to cancel your booked session. Late Cancellation after this time /No Show will be charged the full session fee. 

 

CHILD WAIVER (TO BE SIGNED BY THE ADULT PARENT OR GUARDIAN)

Please convey the following information to your child: it’s too hard or if it hurts, you can stop! You may rest at any time during the class. It is important in Pilates that you listen to your body, and respect its limits on any given day. I, the undersigned parent or guardian, understand that Pilates is not a substitute for medical attention, examination, diagnosis or treatment. In the case where my child has an injury, sickness or anything else that may be affected by physical activity, I have consulted with doctor or medical professional to ensure my child can take Pilates classes. I recognise that it is my responsibility to notify the instructor of any serious illness or injury before every Pilates class. In further consideration of permitting my child to participate in the Pilates class, I knowingly, voluntarily and expressly waive any claim I may have against Lisa Singer of LS Pilates Club, for injury or damages that my child may sustain as a result of participating in the Pilates class in a face to face or on an online session. I, my heirs or legal representatives irrevocably covenant not to sue and forever release, waive, and discharge any other claims of any kind whatsoever against Lisa Singer of LS Pilates Club , for any personal injury, property loss or damage, or wrongful death, whether caused by negligence or otherwise. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. I accept that the Pilates instructor of LS Pilates Club is not liable for any injury, or any damages, to person or property, resulting from the taking of the class.

Thank you for completing the LS Pilates Club Medical Questionnaire and Consent Form. Your responses have been recorded in accordance with the Privacy Policy.

PLEASE CLOSE THIS WINDOW AND RETURN TO YOUR BOOKING.

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