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Getting Started

Client Enrollment Form

Please fill out the following form to help us understand your physical condition.

Do you currently have any injuries, pain or physical limitations?
Have you had any recent surgeries that we should know about?
Are you currently taking any medications? Please list.
Are you currently pregnant or have you recently given birth in the last 6 months?
If you have been pregnant before, did you experience any of the following?

LIABILITY WAIVER:

I understand that I have enrolled in a program of strenuous physical activity including but not. limited to body-conditioning machinery used during my Pilates workouts.  I hereby absolve Marie-Josée Houle and Pilates with Marie LLC from any responsibility for injuries I might sustain while practicing the Pilates method of body conditioning or any actions learned with or by Marie-Josée Houle and Pilates with Marie LLC.

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I hereby release for myself, my heirs ans assigns, Marie-Josée Houle, Pilates with Marie LLC (and its employees) from any claims, demands and causes of actions arising from my participation in an exercise program.

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I agree that prior to my participation I will inform Marie-Josée Houle of Pilates with Marie LLC of any known medical conditions of factors that may place me at risk.  Pilates with Marie LLC may request a medical release from my medical practitioner prior to participation.  I will inform Marie-Josée Houle (or any employees) of Pilates with Marie LLC of any symptoms before, during and after participation.

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I also understand that if I am a prenatal or postnatal client, I must consult with my physician and receive clearance to perform physical exercise.

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Agreement to this Cancellation and Liability Information will act as your continued agreement to all ensuing sessions, classes, workshops and/or seminars whether in person or via any video conferencing tool livestream and/or recording.

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All persons under 18 years of age must have a Waiver of Liability signed on their behalf by a parent or guardian before attending classes at Pilates with Marie LLC.  Once the parent or guardian has signed the waiver, persons under 18 years of age may attend Pilates with Marie classes.

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By checking this box below, I acknowledge that Marie-Josée Houle and Pilates with Marie LLC shall not be liable or responsible to me for articles lost, damaged.  â€‹  I have read the above release form and waiver of liability and fully understand its contents.  I voluntarily agree to the terms and conditions stated above.

TERMS & CONDITIONS:

We recommend you consult with a physician before starting this or any exercise program.  If you experience any pain or discomfort during the course of the program, stop exercising immediately and seek medical attention.  Pre-natal and post-natal clients must consult with their physician and have received verbal clearance to perform physical exercise.

CANCELLATION POLICY:

We understand that sometimes unforeseen circumstances may arise that require you to cancel your scheduled class. To maintain a fair and efficient scheduling process for all our clients and teacher, we have implemented the following cancellation policy:

.1. Cancellation Timeframe:

  • Clients must cancel their class a minimum of 24 hours prior to the scheduled start time.

2. Late Cancellations:

  • If you cancel your class less than 24 hours before the scheduled start time, you will be charged for the class.

There are no exceptions to this policy.

For clients under 18:

Thanks for submitting!

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