Waiver of Liability and Prospective Release
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I declare that I am over 18 years of age (or have otherwise provided parental consent) and acknowledge and understand that I have voluntarily chosen to participate in the classes and activities offered by Your Balance Project.
I acknowledge and agree that the workouts are a recreational sports activity and may involve strenuous physical activity including, but not limited to stretches, lifts, use of props, use of reformer machines, gymnastic movements, strenuous bodyweight exercises and other strenuous activities that I am not obliged to perform, nor am I obliged to participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during classes.
I understand that there are inherent risks in all aspects of physical exercise, and I acknowledge that I have been informed of the possible strenuous nature of training. I agree that prior to my participation I will inform Your Balance Project of any known medical conditions or factors that may place me at risk. Your Balance Project may request a medical release from my medical practitioner prior to participation. I will inform Your Balance Project of any symptoms before, during and after participation in a class.
I also understand that if I am a prenatal or postnatal client, that I must consult with my physician and receive clearance to perform physical exercise.
I release Your Balance Project and its staff, employers and agents from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer as a result of my participation in the classes, activities and services provided by Your Balance Project.
I agree to hold harmless and indemnify Your Balance Project and its employees and agents from any and all liability for any damage to the property of, or personal injury to, any third party, resulting from my participation in any program, activity or service provided by Your Balance Project. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full force and effect.
In checking the box below I declare that I have advised Your Balance Project of any injury, back, neck or joint pain, restricted movement, heart issues, asthma, or high or low blood pressure, arthritis, slipped or bulging vertebral disk, pelvic floor conditions, dizziness, diabetes, epilepsy, hernia, bone degeneration, high cholesterol, allergies or chronic illness. I also declare that I have notified Your Balance Project if I am pregnant and/or have given birth in the last 12 months, or if I have undergone surgery in the past 12 months.
If any of the above health conditions apply to you, please include full details in this form.
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
