This form is an important legal document. It explains the risks you are assuming by beginning an exercise program. It is critical that you read and understand it completely. After you have done so, please print your name legibly and accept the terms in order to create an account.
WAIVER, INFORMED CONSENT AND COVENANT NOT TO SUE:
I, (YOUR NAME WILL APPEAR HERE) I AM VOLUNTARILY PARTICIPATING IN A PROGRAM OF PHYSICAL EXERCISE UNDER THE DIRECTION OF ANABELLE FREER-MARQUA, OR exercising on a program called OPEN FLOOR by myself in which "WON'T be any supervision. IN BOTH CASES, supervised or unsupervised, which will include, but may not be limited to weight and/or resistance training, using or not the equipment provided in the Studio, I DO HEREBY and FOREVER release and discharge and hereby hold harmless, ANABELLE FREER MARQUA, ANAPILATES STUDIO, AND HIS AFFILIATES, respective agents, heirs, assigns, contractors, and employees from ANY AND ALL CLAIMS, DEMANDS, DAMAGES, RIGHTS OF ACTION OR CAUSES OF ACTION, present or future, arising out of or connected with my participation in this or any exercise program beheld in the Studio or outside including ANY injuries resulting therefrom. This WAIVER and RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, injuries which may occur as a result of 1)
EQUIPMENT THAT MAY MALFUNCTION OR BREAK. 2) ANY SLIP, FALL, DROPPING OF EQUIPMENT AND 3) OR NEGLIGENT INSTRUCTION OR SUPERVISION. I recognize that exercise might be difficult and strenuous ad that there could be dangers inherent in exercise for some individuals. I acknowledge that the possibility of certain unusual physical changes during exercise does exist.
I recognize that an examination by a physician should be obtained from all participants prior to involvement in any exercise program. If I have chosen not to obtain a physician's permission prior to beginning or continuing exercising in AnaPilates, I hereby agree that I AM DOING SO AT MY OWN RISK. IN ANY EVENT, I ACKNOWLEDGE AND AGREE THAT I ASSUME THE RISKS ASSOCIATED WITH ANY AND ALL ACTIVITIES AND/OR EXERCISES IN WHICH I PARTICIPATE. I ACKNOWLEDGE AND AGREE THAT no warranties or representations have been made to me regarding the results I will achieve from this program I UNDERSTAND THAT the results are individual and may vary.
I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY, BY AGREEING TO THE TERMS IS EQUIVALENT TO SIGN IT, BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST ANABELLE FREER-MARQUA, ANAPILATES, AGENTS, HEIRS, ASSIGNS, CONTRACTORS, AND EMPLOYEES.