94 PILATES, LLC
REFORMER TOWER MAT

AGREEMENT OF RELEASE & WAIVER OF LIABILITY

I will receive information and instruction while participating in the class, health program, or workshop offered by 94 Pilates, LLC. I recognize that this class will require physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. (Initial ________)
I represent and warrant that I am physically fit and have no medical conditions that would prevent my full participation in the class, health program, or workshop. (Initial ________)
I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which I may incur as a result of participating in the program. (Initial ________)
I knowingly, voluntarily, and expressly waive any claim that I may have against the 94 Pilates, LLC instructors or 94 Pilates LLC for injuries or damages that I may sustain as a result of my participation. (Initial ________)

I HAVE READ THE ABOVE RELEASE AND WAIVER OF LIABILITY AND FULLY UNDERSTAND THEIR CONTENTS. I VOLUNTARILY AGREE TO THE TERMS AND CONDITIONS STATED ABOVE.

Name (Print): __________________________________________

Signature: _____________________________________________

Date: _________________________________________________