Consent Form to Participate in Pilates Instruction

I agree to the following:

1. I am participating in pilates sessions during which I will receive information and instruction offered pertaining to pilates. I recognize that pilates requires physical exertion which may be strenuous and may cause physical injury and I am fully aware of the risks and hazards involved

2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in pilates sessions. I represent and warrant that I am physically fit and I have no medical conditions which would prevent my full participation in pilates sessions

3. In consideration of being permitted to participate, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the session

4. In further consideration of being permitted to participate in pilates sessions, I knowingly, voluntarily and expressly waive any claim I may have against Shari Kitchin for injury or damages that I may sustain as a result of participating in the session

5. I understand that filming and photos may be taken during some sessions and I consent to this being used on Social Media, Website and/or for advertising purposes

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to terms and conditions listed above