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Participant Consent Form: Risk Warning & Waiver of Liability

Access Pilates (or “us”) Access Pilates Pty Ltd ACN 675 050 932

The Participant (or “you”) the undersigned

Activities Pilates and fitness classes, training, workshops, sessions or events, and self-managed use of Pilates and other fitness equipment

Please read these carefully and sign if you fully understand its contents. You warrant and represent to us that you are at least 18 years of age.

YOU MUST NOT PARTICIPATE IN ANY ACCESS PILATES ACTIVITIES WITHOUT READING, ACKNOWLEDGING AND ACCEPTING THIS WAIVER.

Risk Warning & Waiver

1. You have requested to participate in the Activities available at any studio operated by Access Pilates or third parties hired by Access Pilates. By accepting this waiver or participating in the Activities, you agree to the following.

This waiver is governed by the laws applying in the Northern Territory. Each party submits to the exclusive jurisdiction of the courts of Northern Territory in respect of any proceedings arising out of or in connection with this waiver.


2. You acknowledge that by agreeing to this waiver, you may not be entitled to compensation for any personal injury or death that occurs while participating in the Activity. You also confirm that you have been given a reasonable opportunity to consider whether or not to enter into this waiver. 


3. You understand and acknowledge that the Activities, including but not limited to access to any facility, gym, Pilates, or training equipment as well as training, programs, and events held by Access Pilates may expose you to risk, including accidents, injury, illness or even death. You assume all risk of injuries associated with participation in the Activities, including but not limited to, falls, contact with other participants, equipment failure, risks inherent in acrobatic, gymnastics, or circus activities, such as high impact injuries, fall injuries, physical risks inherent in exercise and the loss of your personal property, and exclude Access Pilates from any liability. 


4. You understand and acknowledge that participating in the Activities is inherently dangerous and can occasion a range of minor and major injuries, including but not limited to, bumps, bruises, scrapes and scratches, sprains, twists, cramps, fractured bones, broken bones, torn ligaments, and even death. If you are participating in any Activities provided by Access Pilates, you assume all risk of injuries and/or death associated with your participation and exclude Access Pilates from liability. 


5. The Activities may involve strenuous physical exercise which may subject you to risk of serious injury or even death. Access Pilates urges you to obtain a physical examination from a doctor before using any equipment or participating in any Activities. You agree that when you use any facility provided by Access Pilates or engage in the Activities, on the premises or off the premises, including at an event, you do so entirely at your own risk. 


6. You warrant and represent that you have no injuries, physical restrictions, disabilities or predispositions to sickness or injury (Conditions) that may affect your participation in the Activities or that if you are aware of such Conditions, you participate in any activities provided by Access Pilates entirely at your own risk. 


7. Before participating in any Activities, you must complete a safety briefing and induction, which may be delivered in person, by video, or by another method determined by Access Pilates. You agree not to participate in any Activities until you have completed the induction, and you agree to follow all instructions provided in the induction at all times, in particular where required to wear a safety device. 


8. You agree that before participating in any Activity, you must evaluate whether your current skills and physical condition allow you to participate in the exercise in a safe manner. If you believe an exercise or Activity will not be safe, you must inform the Access Pilates personnel (if applicable) and not participate in such exercise or Activity. 


9. Where an Activity is supervised by Access Pilates personnel or another third party who has undertaken instructional and safety training provided by Access Pilates (Supervisor), you agree that you will abide by all instructions provided by the Supervisor or any other Access Pilates personnel while you are participating in the Activities and if you do not understand any instructions provided, you must cease participation in the Activities and seek clarification. 


10. You understand and acknowledge that:

(a) the facility operates on a 24/7 basis and may be accessed at any time;

(b) outside of staffed hours, there will be no supervision or assistance, and staffed hours may change at the Access Pilates discretion;

(c) if you are injured, become unconscious, or experience a medical emergency, there may be no one available to respond, and Access Pilates has no duty to provide assistance;

(d) while the facility may be fitted with surveillance cameras, these are for recording purposes and are not continuously monitored;

(e) when attending the facility unsupervised, you must comply with all directions, including the requirement to wear or carry any safety device provided; and

(f) medical assistance will not be available during non-staffed hours, although a first aid station and emergency alarms are located in the facility. 


11.  You agree that if you sustain any injury or illness or begin to feel faint or unwell while at an Access Pilates facility, you must cease participation in any Activities and:

(a) During a Supervised Activity: You must immediately inform the relevant Supervisor or Access Pilates personnel who may record written details of your injury and any medical treatment administered.

(b) During an Unsupervised Activity: If you suffer a serious injury, you must follow Unsupervised Activity injury procedures such as activating any emergency safety device or calling an ambulance. You acknowledge that all costs associated with these procedures, including ambulance or medical expenses are your responsibility.

You agree that if you suffer a serious injury, if available, a Supervisor or Access Pilates personnel may administer medical treatment directly or seek emergency medical services/an ambulance at your expense. 


12. You acknowledge and agree that you must not participate in any Activities while under the influence of drugs, alcohol or illicit substances (including where alcohol is served at an Access Pilates facility) as those substances impair your ability to participate in any Activities safely and may result in significant injury or death to you or others. 


13. You acknowledge and agree that you are solely responsible for tidying up after yourself and wiping down and returning any equipment you use to a safe and proper condition so that it is ready for use by the next person. If you notice that any equipment is faulty, malfunctioning, or damaged, you must immediately cease using it and notify Access Pilates by email or in App message. Any other unsafe conditions in the facility should be immediately notified to Access Pilates by email or in App message. 


14. To the maximum extent permitted by law, you exclude the Releasees from any demand, claim, or other proceeding in relation to including or loss or damage to personal property, in connection with your participation in the Activities at an Access Pilates facility, whether or not caused by the negligence of a Releasee. 


15. To the maximum extent permitted by law, including section 139A of Schedule 2 the Competition and Consumer Act 2010 (Cth) and section 48(1) of the Consumer Affairs and Fair Trading Act 1990 (NT), you exclude Access Pilates and its officers, employees and contractors, the organisers, sponsors, other participants and any other persons involved in your participation in any Activities at an Access Pilates facility (Releasees) from any demand, claim, or other proceeding in relation to any injury or death in connection with your participation in the Activities with Access Pilates, except to the extent that it is a significant personal injury caused by a Releasee’s reckless conduct under Australian Consumer Law. 


16 You agree to indemnify each Releasee in relation to any demand, claim or proceeding that may be brought in connection with your participation in the Activities with Access Pilates where circumstances giving rise to such a demand, claim, or proceeding were caused or contributed to by you or your breach of this waiver or any other agreement between you and Access Pilates. 


17. To the maximum extent permitted by law, all other implied terms, conditions, warranties, rights, or obligations are excluded. Nothing in this waiver excludes, restricts or modifies any term, condition, warranty, guarantee, right or remedy that cannot be lawfully excluded, restricted or modified under Australian Consumer Law. 


18. You agree that should any part of this waiver be found by a court of law to be against public policy, in violation of any state statute or case precedence, or otherwise unenforceable, then only that wording is removed, and the remainder of this waiver will remain in full force. 


Declaration & Signature

By signing below, I agree that I have successfully completed the safety induction and carefully read and understood the above waiver terms and agree to be bound by them.

Signed by (or on behalf of): the undersigned

Date: November 3, 2026

Please select who will be participating...
AdultMinor
First Participant's Name
First Name*
Middle Name
Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Parent or Guardian's Email Address
Email*
Confirm Email*
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Studio location
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Phone #
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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*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
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.


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