This Release, Waiver, and Hold Harmless Agreement is made by and between me, the undersigned (“Client”) and Pilates by Carrie, Inc. (“PBC”).
I acknowledge that my participation in the classes and other programs offered by PBC is conditioned upon the following and that I could not participate in the Program and that PBC would not provide the Program without my execution of this Agreement:
The classes and other programs (collectively the “Program”) are designed to promote general fitness, strength, and flexibility for prenatal and postnatal clients through the performance of Pilates and other similar classes and through education to clients on prenatal and postnatal musculoskeletal and related issues. The Program provides space for and/or instruction in Prenatal Pilates, Postnatal Pilates, Diastasis Rectus Abdominus Rehabilitation, and/or Pilates for Perimenopause/Menopause.
I hereby grant PBC permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
In consideration of my participation in the Program and other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged and with the intent of being legally bound hereby:
I acknowledge that my participation in the Program is for general health and fitness purposes only and that I have not been referred by a physician or recommended by any physician or PBC or its officers, directors, agents, servants or employees to participate in the Program for treatment of any medical problem or disorder. I represent and attest that I am in good health and that I am not currently under medical care for any condition that may prevent me from participating in the Program. I further understand that participation in the Program does not constitute a medical examination, is not designed to diagnose or treat any injury or disease, and is not a substitute for either the treatment or medical advice of my physician. Additionally, I have been informed that some Pilates may include physical contact with the instructor for training purposes and I hereby consent to such contact.
I expressly agree and understand that my participation in the Program shall be at my own risk and that PBC, its officers, directors, agents, servants and employees shall not be liable for any claims, demands, injuries, damages, actions or causes of action whatsoever to person or property arising out of or connected with my participation in the Program, including claims, demands, injuries, damages, actions or causes of action arising from acts or omissions, including negligence, on the part of PBC, its officers, directors, agents, servants and employees. I acknowledge that while these exercises are not strenuous, participation in any activity could lead to physical injury. I desire to undertake the Program with the full knowledge of the possibility that physical injuries could result from Program and I desire to assume the risk of any such injury. I hereby expressly release, discharge and hold harmless PBC, its officers, directors, agents, servants and employees from all claims, demands, injuries, damages, actions or causes of action arising out of or connected with my participation in the Program. I agree to pay attorney fees and expenses incurred by any individual or entity whom I or my representative or designee may make a claim against in an effort to challenge any terms of this release or in violation of the terms hereof, including but not limited to the release from liability and waiver.
(Parent or legal guardian must sign if participant is under the age of 18.)