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Class Waiver

May 28, 2020

 

In consideration of my use of the equipment and facilities provided by provided by Pure Pilates Austin (the "company") and my participation in company developed exercise instruction ("exercise classes"), I expressly agree and contract, on behalf of myself, my heirs, executors, administrators, successors and assigns, that the company and its insurers, employees, officers, directors, and associates, shall not be liable for any damages arising from personal injuries (including death, COVID-19 infection, or other infections) sustained by me during all classes (whether digital/virtual at a premise of my choosing or on/about a company location), or as a result of the use of any equipment whatsoever, whether licensed or not licensed by the company, and/or any company facilities, regardless of whether such injuries result, in whole or in part, from the negligence of the company.

By the execution of this agreement, I accept and assume full responsibility for any and all injuries, including COVID-19 infection, damages (both economic and non-economic), and losses of any type, which may occur to me and I hereby fully and forever release and discharge the company, its insurers, employees, officers, directors, and associates, from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out the use of said equipment and facilities and/or my participation in the said exercise classes. I agree to give up any rights that I may have against Pure Pilates Austin, its partners and/or instructors with regard to any injuries or damages that I might receive as a result of my participation in these exercise classes whether or not such participation occurs simulaneously to the initial creation of such exercise class or subsequent to such exercise class. I have carefully read this agreement and I am aware this is a release of liability. I expressly agree to indemnify and hold the company harmless against any and all claims, demands, damages, rights of action, or causes of action, of any person or entity, that may arise from injuries or damages sustained by me.

Furthermore, although measures are being taken by the company to prevent the spread of COVID-19 (such as social distancing, staggered classes and extra sanitization, etc.) the undersigned acknowledges that attending classes at a company location could result in COVID-19 infection and other infections.  Accordingly, in addition to all waivers and limits on liability, the undersigned HEREBY WAIVES AND RELEASES, indemnifies, holds harmless and forever discharges the company and its members, agents, employees, officers, directors, contractors, affiliates, successors and assigns, of and from any and all claims, demands, debts, prosecutions, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that the undersigned ever had or may have, arising from or in any way related to participation in any of the events, activities or classes conducted by, on the premesis of, or for the benefit of the company.

I hereby confirm that I am able to participate in a physical exercise program and acknowledge the various hazards and risks associated with it. I understand that I should inform my instructor and/or stop exercising immediately if I detect any discomfort of any sort during the course of the class. The response of the circulatory system (e.g. heart and lungs) to exercise cannot always be predicted accurately; therefore I understand that there is a risk of certain changes occurring during exercise or following exercise. 

I agree that Pure Pilates Austin may share your first name, last name, email and class attendance information with lululemon athletica canada inc. for data analytic purposes in accordance with their privacy policy located at https://info.lululemon.com/legal/privacy-policy. Note that this information will only be provided to lululemon athletica canada inc. for clients that are visting Pure Pilates Austin via the lululemon practice membership for all others this does not apply.

I understand and agree that the company is not responsible for property that is lost, stolen, or damaged while in, on, or about the premises.

By signing this waiver of liability I proclaim that I fully understand its contents and accept that if any provision of this waiver, or any portion thereof, is held to be invalid and unenforceable, then the remainder of this Agreement shall nevertheless remain in full force and effect.

 

May 28, 2020

 

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive the latest information, news, events details and discounts from Pure Pilates Austin by e-mail. You are able to unsubscribe to promotional emails at anytime free of charge.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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