New Client Waiver Form

please fill this form out before attending your session

First Name

Address

Last Name

Date of Birth

Phone Number

Please provide all information on any previous or current injuries, issues within your body eg: tightness in shoulders/neck/back/scoliosis/disc bulges,treatments you undertake for any issues ie: physio, osteo, chiro, massage, dry needling AND your goals for wanting to do pilates in terms of for fitness, strength, flexibility, general well-being, self care etc. Are you pregnant?

Have you had surgery in the past 5 years

Yes

I declare that the info I’ve provided is accurate & complete

I have read and understand this document and agree to take full responsibility for myself and my actions at all times within the Pilates studio. This includes during classes, workouts, and use of equipment whilst undergoing activity in the studio. I agree that I must give 24 hours notice of cancellation if unable to attend a session or a non refundable forfeit of your session will occur. If you are paying on the day you agree to pay for the missed session at your next visit. You agree to filming at times for social media purposes - however, let the studio know if you are uncomfortable with this

New Client Waiver Form

please fill this form out before attending your session

Thanks for submitting!