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Updated to Include Covid-19 Waiver

LIABILITY AND CANCELLATION POLICY FOR ALL BOSTON BODY CLIENTS:

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Boston Body Pilates adheres to comply.

In consideration of my participation in the foregoing, the undersigned acknowledge and agree to the following: 

  • I am aware of the existence of the risk on my physical appearance to the venue and my participation to the activity of Boston Body Pilates, that may cause injury or illness such as, but not limited to Influenza, MRSA, or COVID-19 that may lead to paralysis or death.
  • I have not experienced symptoms that of fever, fatigue, difficulty in breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease within the last 14 days.
  • I have not, nor any member(s) of my household, traveled by sea or by air, internationally within the past 30 days. 
  • I did not, nor any member of my household, visit any area within the United States that was reported to be highly affected by COVID-19, in the last 30 days. 
  • I have not been, nor any member(s) of my household, diagnosed to be infected of COVID-19 virus within the last 30 days.

Following the pronouncements above I hereby declare the following: 

  • I am fully and personally responsible for my own safety and actions while and during may participation and I recognize that I may be in any case be at risk of contracting COVID-19. 
  • With full knowledge of the risks involved, I hereby release, waive, discharge Boston Body Pilates, its staff, trainers, independent contractors, affiliates, employees, representatives, successors, and assigns from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in any activity while in, on, or around the premises or while using the facilities that may lead to unintentional exposure or harm due to COVID-19. 
  • I agree to indemnify, defend, and hold harmless Boston Body Pilates from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death from or related to COVID-19. 
  • I agree that Boston Body Pilates is in no way responsible for the safekeeping of my personal belongings while I attend class. I understand that classes at Boston Body Pilates may be physically strenuous and I voluntarily participate in them with full knowledge that there is risk of personal injury, property loss or death. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against or its members for any personal injury, property damage/loss, or wrongful death.  
  • Boston Body requires 24 hours notice for all private lessons and 12 hours for all equipment classes. Full charge will be applied if appropriate notice is not given. There are no refunds for unused sessions. There are no exceptions to the cancellation policy.

In signing below I acknowledge that I have read Boston Body Pilates Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent and that I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed.

First Clients Name

First Name*

Last Name*
First Clients Date of Birth*
First Clients Signature*
Second Clients Name

First Name*

Last Name*
Second Clients Date of Birth*
Third Clients Name

First Name*

Last Name*
Third Clients Date of Birth*
Fourth Clients Name

First Name*

Last Name*
Fourth Clients Date of Birth*
Fifth Clients Name

First Name*

Last Name*
Fifth Clients Date of Birth*
Sixth Clients Name

First Name*

Last Name*
Sixth Clients Date of Birth*
Seventh Clients Name

First Name*

Last Name*
Seventh Clients Date of Birth*
Eighth Clients Name

First Name*

Last Name*
Eighth Clients Date of Birth*
Ninth Clients Name

First Name*

Last Name*
Ninth Clients Date of Birth*
Tenth Clients Name

First Name*

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

Email
A signed copy of this waiver will be sent to the email address you provide.
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.


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