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Liability Wavier

Last Updated: May 3, 2025

EMPOWER WELLNESS STUDIO
LIABILITY WAIVER AND RELEASE FORM

I understand that participation in Pilates, fitness training, and related physical activities at Empower Wellness Studio involves physical movement that carries the risk of injury. I voluntarily choose to participate and acknowledge the following:

  1. Health Acknowledgment
    I affirm that I am in good physical condition and able to participate in Pilates and fitness activities. I understand it is my responsibility to consult with a physician regarding any medical conditions or concerns prior to participation.

  2. Assumption of Risk
    I understand and accept that physical activity involves inherent risks including, but not limited to, muscle strains, sprains, injuries, and other potential health complications. I voluntarily assume full responsibility for any and all such risks.

  3. Release of Liability
    I release and discharge Empower Wellness Studio, its owners, instructors, and staff from any and all claims, demands, or causes of action arising out of or connected with my participation, including use of studio equipment and facilities.

  4. Indemnification
    I agree to indemnify and hold harmless Empower Wellness Studio from any loss, liability, or costs incurred due to my participation.

  5. Photography & Media Consent
    I give permission for photographs or videos taken during sessions to be used for promotional purposes by Empower Wellness Studio:
    ☐ I consent
    ☐ I do not consent

  6. Infectious Disease Acknowledgment
    I understand that despite precautions, there is a risk of exposure to infectious diseases, and I voluntarily assume all related risks.

By signing below, I confirm that I have read, understand, and agree to the terms of this waiver.

Full Name: __________________________________________

Signature: __________________________________________

Date: _____________________

If under 18, Parent/Guardian Signature: __________________________________________

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