*Passwords must be at least eight characters long, and contain one number.
INFORMED CONSENT AND WAIVER & RELEASE OF LIABILITY I have volunteered to participate in a program of progressive physical exercise and to retain the services of Lili Viola Pilates Inc. to receive physical training. I intend to assume all risk of injury from my participation. To that end I acknowledge and agree to the following: i. The muscle and cardiovascular conditioning program at Lili Viola Pilates Inc. utilizes Pilates, Cardio Circuitry, stretching and strengthening. During and after exercise there exists a potential for muscle soreness and stiffness, abnormal blood pressure, fainting, disorders of the heartbeat, and instances of heart attack and death. I assume all of the foregoing risks, and accept personal responsibility for any other damages or other injury I might suffer. ii. I know that I have the right to choose what exercises I do or do not perform in addition to withdrawing from any exercise at any time. iii. I understand that a physician’s examination and approval should be obtained prior to participation in any exercise program. I understand that Lili Viola Pilates Inc. has the right to request a doctor’s letter at any time during the program where it is deemed necessary, by instructor or by owner, to have approval before continuing. Lili Viola Pilates Inc. may cancel any appointments scheduled until said letter has been received. iv. I hereby fully and forever release, discharge and hold harmless Lili Viola Pilates Inc. its agents, officers and directors, from any and all liability to me, my heirs and next of kin, for any and all claims, demands, rights of action, causes of action, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of Lili Viola Pilates Inc., its agents, partners or employees or its related “Releases” enumerated above or otherwise, and I hereby waive any right to sue any of the foregoing for any injuries I may sustain or losses I may incur whether known or unknown resulting from the activity described above. v. I recognize that my participation in the activity covered hereby is conditional upon my signing and returning this waiver and release. I understand that I may show this Informed Consent and Waiver & Release of Liability to, and consult with, my own independent legal counsel before signing. vi. Lili Viola Pilates Inc. has not made any representation as to the nature and quality of the facilities or equipment to be used or as to any other matter related to my participation in the foregoing activity. I understand that the “Releases” enumerated above or otherwise owe no duty or obligation to me. I have read and understood this Informed Consent and Waiver & Release of Liability and it accurately sets forth my intentions and I agree to be bound by its provisions. Signed Dated