Vibe Pilates Waiver

RELEASE, WAIVER OF LIABILITY, INFORMED CONSENT AND INDEMNITY AGREEMENT

For and in consideration of being allowed to receive training with VIBE Pilates and the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned Client agrees to the following:

1. I, ________________________ (Name of Client), do fully comprehend and assume all risks

involved in participating in Training. I have been advised by VIBE Pilates, to consult my physician prior to my participation in any training to ensure that I am physically able to engage in strenuous physical activity.

2. Being fully cognizant, and assuming all risks involved in Pilates or any such training, without limitation from VIBE Pilates, I do hereby remise, release, quitclaim, and forever discharge VIBE Pilates, their employees or agents, administrators, successors and assigns, of and from any and all manner of actions, suits, damages, judgments, executions, claims, or demands whatsoever in law or equity, or otherwise, against VIBE Pilates their employees or agents, administrators, successors and assigns, which I, my heirs, executors, or administrators hereafter can, shall or may have, for, upon or by reason of any injury that I may sustain or incur while participating in Pilates Training of VIBE

Pilates or while engaging in physical conditioning exercises.

3. In consideration of being allowed to participate in said Pilates training of VIBE Pilates I do

hereby assume all risks of my involvement and do covenant and agree not to bring legal action for

damages should I sustain any injury, and do further release VIBE Pilates, her employees or agents, administrators, successors and assigns from all acts of active or passive negligence on the part of VIBE Pilates her employees or agents, administrators, successors and assigns.

4. I also agree to INDEMNIFY AND HOLD VIBE Pilates their employees or agents,

administrators, successors and assigns harmless from any and all claims, actions, suits, procedures, costs, expenses, damages, and liabilities, including attorney’s fees brought as a result of my involvement in said Pilates and to reimburse them for any such expenses incurred. 

5. I understand and agree that VIBE Pilates may teach from various locations and I do covenant and agree not to bring legal action for damages should I sustain any injury at any such location, and do further release the owner or lessee of such location, its employees or agents, administrators, successors and assigns from all acts of active or passive negligence on the part of said owner or lessee, its employees or agents, administrators, successors and assigns.

6. In this Agreement, any reference to a party includes that party’s heirs, executors,

administrators, successors and assigns, singular includes plural and masculine includes feminine.

Witness my signature this ______ day of_______, 20.  .

If Client is under the age of eighteen (18), Parents or Guardians must also sign the following agreement.

The undersigned ______________________________ (Names of Parents or Guardians), declare that we are the Parents or Legal Guardians of the above-named Client. In such capacity as Parents or Legal Guardians, we acknowledge that we have carefully read this Agreement and we do hereby assume all responsibilities and obligations of Client as set for therein and do specifically agree to indemnify and VIBE Pilates and hold the Owner or Lessee of the location from which VIBE Pilates teaches, their employees or agents, administrators, successors and assigns, assigns harmless as set

forth in said Agreement and join in all waivers and releases of said Agreement.

CONSENT AS TO MEDICAL CARE

In addition, in the event of an emergency or non-emergency situation requiring medical treatment, the undersigned Parents or Legal Guardians hereby grant permission for any and all medical and/or dental attention to be administered to Client, in the event of an accidental injury or illness. This

permission includes, but is not limited to, the administration of first aid, the use of an ambulance, and the administration of anesthesia and/or surgery, under the recommendation of qualified medical personnel. The undersigned request that we be contacted as soon as possible in the case such

medical care is necessary or appears to be necessary.

____________________________ ____________________________

Printed Name of Client  Signature 

____________________________ ____________________________

(Printed Name of Minor)  (Signature of Minor)