PILATES BY CARRIE, INC.
PROGRAM WAIVER
This Release, Waiver, and Hold Harmless Agreement is made by and between me, the undersigned (“Client”) and Pilates by Carrie, Inc. d/b/a Carrie Koziol Women’s Health Specialist (“CKWHS”).
I acknowledge that my participation in the classes and other programs offered by CKWHS is conditioned upon the following and that I could not participate in the Program and that PBCCKWHS would not provide the Program without my execution of this Agreement:
The classes and other programs, whether offered in person, or virtually, online, or otherwise (collectively the “Program”) are designed to promote general fitness, strength, education and flexibility for clients through the performance of Pilates and other similar classes and through education to clients on musculoskeletal, health, and related issues. The Program provides space for and/or instruction in Prenatal Pilates, Postnatal Pilates, Diastasis Rectus Abdominus Rehabilitation, puberty/menstruation education, Pilates for Perimenopause/Menopause, and other related programs.
In consideration of my participation in the Program and other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged and with the intent of being legally bound hereby:
I acknowledge that my participation in the Program is for general health, fitness and education purposes only and that I have not been referred by a physician or recommended by any physician or CKWHS or its officers, directors, agents, servants or employees to participate in the Program for treatment of any medical problem or disorder. I represent and attest that I am in good health and that I am not currently under medical care for any condition that may prevent me from participating in the Program. I further understand that participation in the Program does not constitute a medical examination, is not designed to diagnose or treat any injury or disease, and is not a substitute for either the treatment or medical advice of my physician. Additionally, I have been informed that some aspects of the Program may include physical contact with the instructor for training purposes and I hereby consent to such contact.
I expressly agree and understand that my participation in the Program shall be at my own risk and that CKWHS, its officers, directors, agents, servants and employees shall not be liable for any claims, demands, injuries, damages, actions or causes of action whatsoever to person or property arising out of or connected with my participation in the Program, including claims, demands, injuries, damages, actions or causes of action arising from acts or omissions, including negligence, on the part of CKWHS, its officers, directors, agents, servants and employees. I acknowledge that while any exercises involved in the Program are not strenuous, participation in any activity could lead to physical injury. I desire to undertake the Program with the full knowledge of the possibility that physical injuries could result from the Program and I desire to assume the risk of any such injury. I hereby expressly release, discharge and hold harmless CKWHS, its officers, directors, agents, servants and employees from all claims, demands, injuries, damages, actions or causes of action arising out of or connected with my participation in the Program. I agree to pay attorney fees and expenses incurred by any individual or entity whom I or my representative or designee may make a claim against in an effort to challenge any terms of this release or in violation of the terms hereof, including but not limited to the release from liability and waiver.