Liability Waiver — Auric Movement

Sign Your Waiver

Please read each clause carefully and check the box to confirm. All 19 clauses must be acknowledged before signing.

Full Legal Name

Email Address

Event Name (optional)

Event Date & Time (optional)

Pilates Experience

Helps your instructor plan the class for you.

First time A handful of classes Regular practice

Health Disclosure

For your safety, please share anything your instructor should know. This information is reviewed for class preparation and permanently deleted within 48 hours.

Have you had any of the following in the past 3 months?
Physician clearance required if yes.

Spine, neck, or back surgery or injury Recent joint surgery or significant injury Pregnancy Severe osteoporosis or bone density issues

Do you experience any of the following?
Disclosure only.

Dizziness, balance problems, or vertigo

Is there anything else about your body or fitness that would help me plan the class for you?
e.g., chronic issues, areas to avoid, modifications you typically use.

Policy
If you checked any item in the first section, you must provide written physician clearance before attending. This information will be reviewed for class preparation and deleted within 48 hours.

0/19 confirmed 19 remaining

I, [Your Name], acknowledge that I have carefully read and fully understand this Liability Waiver & Release. I understand that I am giving up substantial legal rights, including the right to sue. I sign this agreement freely and voluntarily, without any inducement.

I have read, understood, and agree to all terms above

By typing your name below you are signing this agreement electronically. You agree that your electronic signature is the legal equivalent of your handwritten signature and is legally binding under the E-SIGN Act, 15 U.S.C. § 7001.

Digital Signature — Type your full name

Admin Only

Signed Waivers

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Sign Your Waiver

Thank You!

Signed Waivers