Waiver

Please fill out the following form.

First name

Last name

Contact Phone Number

Do you have any medical conditions that may affect your participation in Pilates?

Yes

Do you have any current or previous injuries that may affect your ability to exercise?

Yes

If you answered yes to any of the above questions, please provide more details.

Are you pregnant?

Yes

If yes, how many weeks?

Are you postnatal or breastfeeding?

Yes

If yes, please provide details

Do you have previous Mat Pilates experience?

Yes

If required, please supply additional information here.

Acknowledgement and Consent

I confirm that the information provided is accurate and complete. I understand this information helps Pilates by Sianna provide a safe and effective class experience.

I acknowledge that:

I participate at my own risk, considering myself physically and mentally fit for Pilates.
I will inform Sianna or any other instructor of any pain, discomfort, or changes to my health.
This screening does not replace medical advice. It is my responsibility to seek medical clearance if needed.
I must advise Pilates by Sianna of any relevant health conditions.
During summer sessions, higher humidity may occur. It is my responsibility to bring a water bottle, towel, and stay hydrated.

I declare that the info I’ve provided is accurate and complete.

Initials