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LS Pilates Club Medical Questionnaire & Consent Form

Lisa Singer - Pilates Instructor

Please fill out the following form in order to participate in a group class, or a private/ duet session (online OR live/ face to face)
Do you have or have you experienced any of the following conditions ?

CANCELLATION POLICY

24 Hour notice is required to cancel your booked session. Late Cancellation after this time /No Show will be charged the full session fee. 

 

CLIENT DECLARATION

I understand that if participating in an online Pilates session , the instructor will be teaching me remotely and I am responsible for my own equipment,  and setting myself up in a safe space, away from any hazards they may cause an injury.

 

By adding my initials below and submitting this form, I hereby confirm that the information I have provided above is correct and that to my knowledge I have not withheld any information which may adversely affect me. 

I declare that exercises prescribed or administered to me are undertaken at my own risk either in an online session or face to face.  I will not hold Lisa Singer of LS Pilates Club responsible for injuries arising there from.

​I agree to the above terms and conditions.

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I agree to the above terms and conditions.

Thank you for completing the LS Pilates Club Medical Questionnaire and Consent Form. Your responses have been recorded in accordance with the Privacy Policy.

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PLEASE CLOSE THIS WINDOW AND RETURN TO YOUR BOOKING.

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