5.jpg

Waiver and Release
of Liability 

To register to our dance or fitness classes please fill out this form:

(We never share any information with anyone, and everything is strictly confidential and for class purposes only.)

Do you have a doctor’s permit to participate in intense physical activities?
Have you lost your consciousness in the last past 12 months?

This is a legally binding release, waiver, indemnification of liability, and express assumption of risk.  PLEASE READ IT CAREFULLY BEFORE SIGNING.  

Participant understands that Pilates, Yoga, Dance and other fitness programs (hereinafter referred to as “Pilates or Dance”) involve physical exertion, are strenuous, and that injuries may occur when participating in such activities. Participant accepts and assumes the risks associated with Pilates or Dance, including, but not limited to, equipment malfunction or failure, overexertion, inability to perform suggested exercises or maneuvers, physical or mental conditions that impede the ability to properly perform suggested exercises or maneuvers, failure to properly operate equipment, and failure to follow instructions. Participant hereby freely and expressly assumes all risk of property damage, injury, and death associated with Pilates or Dance. Participant understands that it is his/her responsibility to consult with a physician prior to and regarding participation in Pilates or Dance. Participant represents and warrants that he/she has no physical or mental condition that would prevent full participation in Pilates or Dance. Participant agrees to inform his/her instructor immediately of any physical or mental condition that would prevent his/her full participation in Pilates or Dance. In consideration for participation in Pilates or Dance, receiving instruction in a group, private or semi-private lessons, or workshops and using the equipment and facilities, Participant hereby agrees to release, hold harmless, and indemnify AyzARTia and its owners, partners, employees, independent contractors, directors, officers, agents, instructors, licensees and affiliates from any and all claims by or on behalf of Participant against AyzARTia arising directly or indirectly out of Participant’s participation in Pilates, Fitness or Dance, participation in any class, program, or workshop offered by AyzARTia. This release includes claims and liabilities arising from any cause whatsoever, including, but not limited to, negligence on the part of AyzARTia. This release is binding upon Participant, and Participant’s heirs, assigns, and legal representatives. If signing on behalf of a minor Participant, Parent/Guardian accepts full responsibility for any medical expenses incurred due to the minor’s participation in Pilates or Dance and agrees to release, hold harmless, and indemnify (including costs and attorney’s fees) AyzARTia for any claims brought by or on behalf of the minor. 

Type "AGREE" in the box below to continue. *

Cancellation/Refund Policy: 24-hour advance notice is required to change or cancel an appointment without charge. Appointments may be canceled by phone or email.

 

 

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.

Thanks for submitting!