Pilates Participation Waiver

Please read this waiver carefully. You must agree before participating in any Pilates session with nJoy Health.

First Name

Last Name

Phone

Date of Birth

Please provide the name and phone number of someone we can contact in case of an emergency.

Emergency Contact Name

Emergency Contact Phone Number

Please select all that apply. If you select “None of the above”, do not select any other options.

Health & Safety Acknowledgements

I have been advised not to exercise.

I am currently pregnant or postnatal.

I have an injury, pain, or medical condition that may affect my participation.

None of the above.

Please provide details …

I acknowledge that participation in Pilates and exercise involves inherent risk, including the risk of injury.
I confirm that I have disclosed all relevant medical information and agree to inform the instructor of any changes to my health prior to each session.
I voluntarily participate at my own risk and agree to follow all instructions provided during sessions.

Acknowledgement & Assumption of Risk

I acknowledge and agree to the above Acknowledgement & Assumption of Risk.

Submitting this form constitutes a legal electronic signature.

Consent & Agreement

I confirm that I have read, understood, and agree to the above terms.