New Client Waiver

Please fill out the waiver below before your first session.

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Informed Consent: Waiver and Release of Liability(required)

I have volunteered to participate in a program of progressive physical exercise and retain the services of Ilana Gabriella Pilates to receive physical training.

I acknowledge and agree to the following:
1. I am aware that Ilana Gabriella will assist me in the Pilates method of conditioning.
2. I recognize that these activities might at times be strenuous.
3. I know that I have the right to choose what exercises I do or do not perform in addition to withdrawing from any exercise at any time.
4. By my participation in any of these activities I present to you that I am physically fit.
5. The muscular and cardiovascular conditioning program taught by Ilana Gabriella utilizes Pilates stretching and strengthening. During and after exercise, there exists a potential for muscle soreness and stiffness, abnormal blood pressure, fainting disorders, irregular heartbeat and instances of heart attack and death. I assume all of the foregoing risks and accept personal responsibility for any other damages or other injury I might suffer.
6. It is my responsibility to ascertain that there is no medical reason to prevent my participation. I acknowledge that if there is any medical reason that may affect my ability to participate in Pilates, I will consult my physician to approve participation.
7. I assume full risk for any injuries I may incur, and waive any claim that I might make against Ilana Gabriella.
8. I understand that my email address and/or mobile number will be used for appointment confirmations, updates and other communications from Ilana Gabriella.

I have read and understand this informed consent and waiver and release of liability and accurately set forth my intentions and I agree to be bound by its provisions. I understand that I am agreeing to these terms via electronic check mark.