Consent Disclaimer

I declare that I have read the Medical Questionnaire thoroughly and understand its content. I have completed this questionnaire to the best of my knowledge and have not withheld any specific information requested by it. Any questions I have had regarding the contents and purpose of this medical questionnaire have been answered to my full satisfaction. I consent to an introductory assessment should this be deemed necessary and will be charged as a 1-1 session. I understand that a degree of undress may be during this assessment and that the therapist will explain this to me at the time. I understand that the Pilates programme will begin at a low level and will be advanced in stages depending on my fitness level. I understand and agree that the therapist or I can stop the exercise session at any time if I am or are seen to be experiencing any symptoms of fatigue or discomfort. I understand it is my responsibility to let the therapist know if I am suffering any of these symptoms. I understand and am aware that there exists the possibility of certain dangers when exercising. These can include abnormal blood pressure, fainting, and irregular, fast or slow heart rhythm and in rare instances a heart attack, stroke or death. I understand (a) whilst every care will be taken it is impossible to predict the body’s exact response to exercise and (b) every effort will be made to minimise these risks by evaluation of preliminary information relating to the questionnaire and fitness by observation during exercise.

For one to one sessions, I understand that the Pilates program will be specifically designed as a personal training plan and will take into account details about me given in my questionnaire and assessment. I understand that this programme of exercise should only be undertaken when I have been given specific instructions to exercise on my own. For class sessions, I understand that the Pilates programme has been put together to cover a more general plan and not specifically designed as a personal training plan for me. Therefore I understand that the programme of exercises should only be undertaken in a Pilates class. Further I understand and agree that if I perform any of the exercises outside the class then I do so at my own risk. I agree that you or your authorised agent shall not be liable for injuries I suffer in respect of: Pilates exercises I perform outside a Pilates class or one to one session; Pilates exercises performed otherwise than in accordance with the instruction given by you or your duly authorised agent; and/or Performing Pilates exercises if I am suffering from an injury or ailment of which I have not informed you.

For pre-recorded class I understand these are more general classes and are not tailored to any individual needs. There may be exercises in these classes which are not suitable to certain conditions. Whilst some advice is given in the class for certain conditions, I understand it is not possible to advise for all conditions. If I am in any doubt I will consult with my GP or select a face to face option instead.

For reformer classes I understand the same considerations are required as the classes but extra care is needed with the reformer machine. I will only use it under guidance of the class instructor, and I will listen to and adhere to all safety considerations.

Please note that a full fee may be applicable if less than 24 hours notice is not given for all one to one sessions or One week notice for cancellation for block of classes prior to the start of the first class in that block.

I will not attend class if I have any symptoms or COVID or been in contact with anyone in the last 14 days who have tested positive for COVID-19. I will adhere to social distancing rules and hand sanitisation whilst in class.

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