Loading...

REFORMER PILATES WAIVER

Read entire waiver thoroughly before agreeing and signing

RISE Bodyworks - 1226 Park St, Alameda CA 94501

WAIVERS AND COVID 19, AUTOPAY, and TERMS & AGREEMENTS

GENERAL WAIVER

I understand that exercise, training and using fitness equipment are potentially hazardous activities. I further understand that these activities involve risks of injury, aggravation of preexisting conditions, and in the most severe and extreme situations, even death. Furthermore, I acknowledge that exercise on the body cannot be predicted with complete accuracy and that injuries may occur during or following exercise that could lead to these complications and adversely affect my health. These changes may include, among other effects, high blood pressure, increased heart rate, altered heart function, and possibly, and again in rare instances, cardiac complications. Accordingly, I acknowledge that I am voluntarily participating in these activities with the full knowledge and understanding of the potential dangers. I am aware that a comprehensive medical examination is necessary before using the equipment and machinery and that a consultation with a physician is essential to determine which physical activities, exercises, training and programs, if any, are recommended by my personal doctor. I further acknowledge that I have either had a physical examination within the last month and learned of the recommended activities, or that I voluntarily assume all responsibility and liability for using the facilities, equipment , machinery and participating in all programs at RISE BODYWORKS. I also have read and been informed of the following warning and notification: "If you are currently under a physician’s care for an injury, condition or illness, RISE BODYWORKS strongly urges you to consult your physician before conducting any exercises, using any equipment, or participating in any program at RISE BODYWORKS."

I Agree

Whether I have had an examination or voluntarily assume all liability I further declare that I am physically fit, sound and suffering from no condition, impairment, disability, disease, infirmity, or illness that should prevent my participation in any program and the use of any exercise equipment and machinery. (Anyone who cannot sign that this statement is correct must see a RISE Bodyworks Manager immediately before using the facilities). 

I Agree

Moreover, in consideration of being allowed to use all facilities, equipment, machinery and programs, I personally assume all risks involved in all exercising, training, activities and programs at RISE Bodyworks. I also waive and release, now and forever, all claims and causes of action against RISE Bodyworks, its elected or appointed officers, agents, volunteers, employees, representatives, consultants, executors, and all others directly or indirectly connected with RISE Bodyworks from any and all personal injuries I sustain (including death), any medical condition of any kind which results, any aggravation of a pre-existing medical condition that I aggravate, and any and all other damages or injuries which I sustain in any way from the direct or indirect result of my activities, exercise, training and participation at RISE Bodyworks. I further hold the RISE Bodyworks corporation harmless from any loss to personal property which is lost or stolen while I use, or are present at RISE Bodyworks or other facilities if RISE Bodyworks while, during, going to, or going from the RISE Bodyworks location 

I Agree

COVID 19 WAIVER 

RISE BODYWORKS is open for use by other individuals, I recognize that I am at higher risk of contracting COVID-19. With full awareness and appreciation of the risks involved, I, for myself and on behalf of my family, spouse, estate, heroes, executors, administrators, assigns, and personal representatives, hereby forever release, waive, discharge, and covenant not to sue RISE BODYWORKS, its’ staff, owners, constituents and contractors, from any and all liability, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, or injury, including death, that may be sustained by me related to COVID-19 whether caused by the negligence of the Released Parties, any third-party using RISE facilities or otherwise, while participating in any activity while in, on or around the RISE facilities, tools, equipment, machines, or materials. I VOLUNTARY AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE RISE BODYWORKS, its’ staff, owners, constituents and contractors, FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. I agree to comply with all RISE BODYWORKS policies and rules, including but not limited to all RISE BODYWORKS guidelines, recommendations for safety, signage and instructions related to COVID 19 mandates and precautions. I agree that I am personally responsible for my safety and actions while using the facilities at RISE BODYWORKS.

I Agree

FACILITY USE POLICY (AGREEMENT)

All members using the Gym, Wellness Center and Reformer Pilates Studio will only be able to do so once they have a valid account in our MindBody system, have signed and authorized all terms/agreements and waivers

I Agree

Pilates members or attendees must pre-register for a class using our online system.

I Agree

Grippy Socks must be worn during the entire Pilates class. You must agree to socially distance between yourself and other members, minimally 6 ft apart. Proper workout attire must be worn at all times. 

I Agree

Clean all props touched and the reformer with the disinfectant spray and paper towels provided in the studio

I Agree

You may show up for class no more than 5 minutes early and wait until the studio room has cleared out before going in

I Agree

Wash your hands/use hand sanitizer upon entry and before class. Wash your hands/use hand sanitizer after class and when leaving the building

I Agree

Cell phone use is prohibited in work out areas. This includes any Facetime, Skype or any other application that uses the speaker of your phone 

I Agree

For safety and courtesy, cell phone and Apple watch use is strictly prohibited in all fitness classes. To avoid disrupting the participants and instructors, please step outside the room/studio to take your call or respond to texts

I Agree

Pilates members may also use the Gym only if they have an active gym membership and have signed the Gym waiver 

I Agree

Throw your garbage away, do not leave for someone else or a staff person to handle your trash

I Agree

Towels & Mats are NOT provided for your workout, please bring your own if you need one. The towels provided are solely to be used for cleaning equipment/props, etc. Towels & Mats that are left behind will be promptly discarded

I Agree

You are not allowed in the building if you have any COVID symptoms.

I Agree

Adhere to ALL new and existing signage throughout the building and on the front door of RISE Bodyworks

I Agree

Adhere to all RISE staff requests & instructions verbally provided to you. It’s not acceptable to disregard instructions given to you by any staff person. Hostile behavior and/or verbal assaults directed at the staff will result in permanent membership cancellation

I Agree

Failure to comply with any RISE Bodyworks policy, request or instructions will be asked to leave the building and/or membership cancelled. RISE Bodyworks is required to follow all mandates from Alameda County and the State of California, and implments these requirements for the health of and safety of our members, patients, and our staff

I Agree

TERMS AND AGREEMENTS

All Memberships:

●      I understand that I am purchasing an ongoing autopay (e.g. gym, class or massage) membership and I will be charged monthly until I cancel in person and have completed the cancellation form.

●      I authorize Rise Bodyworks to process the automatic payment every month, on the anniversary date of the initial purchase.

●      I understand that all monthly memberships have a minimum two-month commitment.

●      I understand that I must give a 30-day advance notice of cancellation.

●      I agree to keep a valid credit card on file.

●      I agree to reconcile any accrued charges on my account as a result of declined auto payments.

●      I agree that I am solely responsible to book and manage my appointments and classes, I take responsibility for all bookings even those I request be booked for me by Rise Bodyworks staff.

The undersigned understands and agrees to all of the above terms and agreements for ALL MEMBERSHIPS POLICY 


 

 Membership Cancellation:

●      I understand I may cancel my membership following the two-month commitment.

●      I agree to give 30 DAYS ADVANCE NOTICE from the next billing date.

●      I understand all cancellation requests must be done in person. I agree to come in person and complete the cancellation form provided by Rise Bodyworks

●      I understand that RISE Bodyworks will regard my membership as active if I do not adhere to the above process.

●      If I do not provide a 30-day advance notice, I authorize Rise Bodyworks to charge my credit card on file for the additional billing cycle.

The undersigned understands and agrees to all of the above terms and agreements for MEMBERSHIP CANCELLATION POLICY


 

Membership Suspension:

●      Class Membership: I understand I can pause my membership for a minimum of 14 days and a maximum of 90 days.

 The undersigned understands and agrees to all of the above terms and agreements for MEMBERSHIP SUSPENSION POLICY


  

All Service Appointments

●      I agree to maintain an active and up to date account in the Rise Bodyworks online booking system, including a valid Credit Card on file.

●      I understand that I am fully responsible for booking my own clinic, massage, private session, and any other service appointments.

●      I agree to manage my booked appointments, even if they are booked by the Front Desk staff.

●      I agree to immediately report to the Front Desk staff any discrepancy found in a booked appointment, as I am responsible for all appointments made in my account.

 The undersigned understands and agrees to all of the above terms and agreements for ALL SERVICE APPOINTMENTS POLICY


 

Class & Appointment Cancellation Policy

●      I understand that all my booked classes and service appointments have a 12-hour cancellation policy.

●      I understand that if I cancel in less than 12 hours, I will be charged the full price of the class and/or service appointment.

●      I understand that if I have an unlimited class membership, a late cancellation or no show will result in a fee of $20 per class.

●      I understand that there are no exceptions to this policy including illness, unexpected travel, etc.

 The undersigned understands and agrees to all of the above terms and agreements for CLASS & APPOINTMENT CANCELLATION POLICY 


 

Class Rollover Policy

●      I understand that all Class Memberships are eligible for 1 rollover class per month, and the rollover class must be used within 30 days of the next billing cycle (i.e. the following month).

●      I understand that rollover classes do not accrue. If I do not use them within the next billing cycle, I will lose them.

●      I understand that I cannot share or ‘gift’ my rollover classes.

●      I understand that rollover classes are permanently voided when an account goes on suspension or is terminated.

●      I understand that rollover classes are not available with the Unlimited Class memberships.

●      Process;

o  Email risebodyworks@gmail.com 1-3 days before the end of your billing cycle and request one class be rolled over.

o  Requests will not be taken over the phone or in person, they must be done in writing.

The undersigned understands and agrees to all of the above terms and agreements for CLASS ROLLOVER POLICY 


 

Refunds

●      I understand there are NO partial or full refunds or account credits for memberships, services or products.

●      I understand that all sales are final.

●      I understand there are no exceptions to this policy including illness, unexpected travel, etc.

The undersigned understands and agrees to all of the above terms and agreements for REFUNDS POLICY 


 

Communications

●      I understand that I am required to maintain an active email address on record with Rise Bodyworks to ensure open communication regarding, but not limited to, emergencies, forces of nature, the Rise schedule, my account, operations and/or crucial updates.

●      I understand that it is my responsibility to ensure that risebodyworks@gmail.com is an approved contact in my email account and that Rise Bodyworks is not responsible for their emails being sent to Spam or Promotions.

●      I understand and accept the fact that if I unsubscribe to email notifications from Rise Bodyworks, I will not receive class and appointment confirmations and reminders and emailed receipts.

●      I understand that Rise Bodyworks will communicate with me via email and social media to ensure crucial updates are disseminated and received by Rise’s valued members, patients, and clients. In the event of a national, global emergency/disaster Rise must have my current contact information.

 The undersigned understands and agrees to all of the above terms and agreements for COMMUNICATIONS POLICY 


 

Use of Photo/Video Onsite

●      I agree to have Rise Bodyworks take my photograph for my account to allow for check-in membership verification.

●      I agree that Rise Bodyworks has my permission to use my likeness in a photograph, video, or other digital media in any and all of its publications, without payment, or other consideration.

●      I understand that all media will be used solely for Rise Bodyworks’ business marketing purposes.

●      I understand that I have the option to request not to be photographed at any time, by either asking the photographer, staff, or front desk.

The undersigned understands and agrees to all of the above terms and agreements for PHOTO/VIDEO ONSITE POLICY 


 

The undersigned understands and agrees to the above stipulations, terms and agreements:

Dated: April 1, 2025

 






First Member's Name

First Name*

Last Name*

Phone*
First Member's Age Acknowledgment*
First Member's Date of Birth*
I certify that I am 18 years of age or older
First Member's Signature*
Second Member's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Member's Date of Birth*
Member's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last 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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!