top of page

Please complete our waiver

*Please do not press the back button prior to submission

Your safety is our number 1 priority.

Date of birth
Day
Month
Year
Have you been hospitalized in the last 12 months?
No
Yes
Are you suffering from a medical condition, illness or injury?
No
Yes
How would you describe your Pilates practice level?
Beginner
Intermediate
Advanced
How would you describe your Yoga practice level?
Beginner
Intermediate
Advanced
Do you consent for hands on assists in our classes?
Yes
No
bottom of page