Waiver of Liability and Assumption of Risk Agreement
1. ACKNOWLEDGMENT OF RISKS
I understand that participation in Pilates classes, exercise programs, workshops, and related activities involves inherent risks, including but not limited to muscle strains, sprains, falls, dizziness, aggravation of pre-existing conditions, cardiovascular events, and other injuries that may result from physical activity.
I voluntarily choose to participate in these activities and assume all risks associated with my participation.
2. HEALTH REPRESENTATIONS
I certify that I am physically able to participate in Pilates and exercise activities. I understand that it is my responsibility to consult with a physician or other qualified healthcare provider regarding any medical concerns prior to participation. Participation in Pilates classes does not establish a physical therapist-patient relationship and is not a substitute for medical advice, diagnosis, or treatment.
I agree to immediately notify the instructor of any pain, discomfort, dizziness, or other symptoms experienced during class.
3. ASSUMPTION OF RISK
I knowingly and voluntarily assume all risks, known and unknown, associated with participation in Pilates classes and related activities.
4. RELEASE OF LIABILITY
To the fullest extent permitted by law, I release, waive, discharge, and hold harmless Gorge to Summit Physical Therapy & Pilates Studio, its owners, employees, contractors, instructors, volunteers, and agents from any and all claims, demands, causes of action, damages, losses, or liabilities arising from or related to my participation in Pilates classes or use of studio facilities, except where prohibited by law.
5. EMERGENCY MEDICAL TREATMENT
In the event of an emergency, I authorize studio personnel to obtain emergency medical treatment on my behalf. I understand that I am responsible for any resulting medical expenses.
6. ADDITIONAL PARTICIPANT RESPONSIBILITIES
I agree to follow all instructions, guidelines, and safety recommendations provided by the instructor. I understand that proper form, equipment use, and adherence to instructor direction are important for my safety. I agree to immediately stop participating and notify the instructor if I experience pain, dizziness, shortness of breath, chest pain, lightheadedness, unusual fatigue, bleeding, contractions, loss of fluid, or any other concerning symptom during or after class.
7. PREGNANCY AND POSTPARTUM PARTICIPATION
If I am pregnant, recently postpartum, or believe I may be pregnant, I acknowledge that participation in exercise activities may involve additional risks. I confirm that I have consulted with or have had the opportunity to consult with my healthcare provider regarding participation in Pilates and exercise activities.
I understand that it is my responsibility to inform the instructor of my pregnancy, postpartum status, or any medical restrictions that may affect my participation.
I agree to monitor my body's response to exercise and to stop activity immediately if I experience any concerning symptoms, including but not limited to vaginal bleeding, contractions, leakage of fluid, dizziness, chest pain, shortness of breath prior to exertion, severe pelvic pain, or any symptom that causes concern.
I voluntarily choose to participate and assume all risks associated with exercising during pregnancy or the postpartum period.
Cancellation Policy: Private Pilates & Physical Therapy Apppointments
Upon cancelation of your appointment within 24 hours of the specified date and time the patient understands and agrees that they will be billed $20 and responsible for paying this within 2 months of bill distribution.
