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New Client Release of Liability

I have agreed to participate in a program of physical exercise with a teacher at Mind Pilates Inc. The exercise program includes cardiovascular conditioning, muscle strength, endurance and flexibility work. The possible benefits of this exercise program include : improving cardiovascular fitness, muscle strength, endurance, flexibility, body posture and alignment. I waive, indemnify, exonerate, hold harmless Mind Pilates Inc staff or employee of Mind Pilates Inc and their assigns for any claims, demands and causes of action (including attorney’s fee)arising out of or pertaining to any loss, damage, injury or death sustained, caused by any negligent act or act of omission or my participation in the Mind Pilates Inc or breach of duty related to Mind Pilates Inc. This release applies whether or not any claim, demand, action or suit is based upon or alleged to be based on or in part, the negligent act or act of omission or similar conduct of those parties are hereby released and indemnified. I hereby assume all risks and hazards in volunteering to participate in the Mind Pilates Inc. I hereby acknowledge that I possess adequate medical and hospitalization insurance coverage in case of injury.

I further  acknowledge that I might have the right to choose what exercises I do or do not perform in addition to withdrawing from any exercise at any time. I acknowledge that I have carefully read this consent and fully understand that it is an exercise at any time. I acknowledge that I have carefully read this consent and fully understand that it is a release of all liability. in addition, I do hereby waive any right that I may have to bring a legal action or assert a claim for injury or loss of any kind against me for my negligence or arising out of or relating to participation by me in any of the activities, or use of the equipment, facilities or services provided to me by Mind Pilates Inc.


I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains) and the cardiorespiratory system (dizziness, discomfort in breathing, heart attack ). The possibility of certain unusual changes during exercise does exist. They include such conditions as muscle soreness or stiffness, abnormal blood pressure, fainting, disorders of heartbeat and instances of heart attack and death. I hereby acknowledge and accept these risks. To my knowledge, I do not have any limiting physical conditions or disability that would prelude an exercise program. I hereby certify that I know of no medical problem (except those noted below) that would increase my risk of illness and injury as a result of participation in a regular exercise program. medical problems(if any ). A physician's examination should be obtained by all participants prior to involvement in the exercise program. If a participant chooses not to obtain a physician’s permission, she/he must sign the following statement: I have been informed of the need for a physician’s approval or participation in a progressive exercise/fitness program. I fully understand the strenuous nature of the program. I accept complete responsibility for my health and well-being in the voluntary exercise/fitness program and related testing and understand that the directors, owner, or employees of Mind Pilates Inc assume no responsibility.

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