Name *

First Name

Last Name

Phone

Country

(###)

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Date of Birth *

MM

DD

YYYY

Checkbox *

Are you pregnant?

Yes

No

Cancellation Policy *

Cancellations are permitted 12 hours prior to the start of a booked class (by text, email, or online) for a full refund. Alternatively, you can book in for another class on the same day only.

I understand and agree to the terms of the cancellation policy

Disclaimer *

WARNING AND ACKNOWLEDGEMENT OF RISKS, INJURY AND OBLIGATIONS. I acknowledge and understand the following: - The activity I am about to undertake is a recreational activity involving Pilates based exercises that may involve a risk of harm and that by participating in it I am exposed to certain risks. - I undertake this activity at my own risk. -I am not required to engage in the activity. - The activity may cause injury, physical or mental. Injury, physical or mental, whilst participating in the activity may result from my negligence. - The conditions in which the activity is conducted may vary without warning. - There may be no or inadequate facilities for treatment or transport in the event of injury. - I assume the risk of and responsibility for any injury resulting from participating in the activity. - Prior to exercising I must disclose any health conditions and have obtained clearance from my general practitioner with regards to such conditions. I take it upon myself to discuss any changes to my current health with my instructor. I recognise that the instructor is not able to provide me with medical advice with regard to my medical fitness and that the information provided is used as a guideline to limitations of my ability to exercise. Pregnancy Policy: I agree to inform my instructor as soon as I discover I am pregnant, so that the instructor can advise me of the appropriate modifications for me.

I understand and agree to the terms of this disclaimer

Best Emergency Contact *

First Name

Last Name

Phone *

Country

(###)

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