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New Client Waiver

Cancellation and Studio Policies:

  • Prior to any training session, a Waiver of Liability must be completely filled out and signed
  • All sessions and classes are 55 minutes. Sessions will begin and end promptly as scheduled
  • Unless another agreement is made with an instructor, regardless of arrival time, sessions will end at the scheduled time
  • 24-hour notice of cancellation is required to avoid being charged for appointments and classes
  • Late cancellations and no-shows will be charged the full amount of the scheduled session


Agreement of Release and Waiver of Liability

  • I will receive information and instruction while participating in the class, health program or workshop offered by KOB 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
  • I understand that it is my responsibility to consult with a physician or medical professional prior to and regarding my participation in this class or any other activity associated with KOB Pilates LLC. 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
  • 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 with KOB Pilates LLC
  • I knowingly, voluntarily and expressly waive any claim that I may have against KOB Pilates LLC or The Training Station PT Inc., for injuries or damages that I may sustain as a result of my participation
  • Heirs, my legal representatives and I forever release and waive any liabilities against KOB Pilates LLC or The Training Station PT Inc. for any injury or death incurred by my voluntary participation in this class, workshop or activity

 

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

First Client Name
First Name*
Last Name*
Phone*
First Client Date of Birth*
Date of Birth
First Client Signature*
Second Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Third Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Fourth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Fifth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Sixth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Seventh Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Eighth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Ninth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Tenth Client Name
First Name*
Last Name*
Client Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
Emergency Contact's Relation to Participant
Client 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(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 Date of Birth*
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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