Hello.Tell me a little about yourself by filling out the form below. VIEW FORM Detailed Contact Form Name * First Name Last Name Email * Phone (###) ### #### Do you currently have an injury? * yes no If so, have you been cleared by a medical practitioner to participate in fitness classes? * yes no What is your current fitness level? * I workout all the time 1 - 2 x's per week coming back from a break How old are you? 18-25 26-35 36-45 46-55 56-65 65 and up Equipment I currently own- this is strictly for me to plan our session based on what you currently own. * yoga mat 1-3 lb. free weights 1-2 lb. wrist/ankle weights yoga ball small Pilates ball yoga block rebounder loop band no equipment Are you a current member of Streamline? yes no Have you ever experienced any of the following? * lower back pain Osteoporosis joint injury Pregnancy other SESSION POLICIES * SESSION POLICIES All sessions and class packages are non-refundable and non-transferable. Pricing subject to change without notice. -class packages expire 6 months from date of purchase. -sessions are by appointment only and can be reserved by email. -payment options include credit. -payment is due at time of session. -class packages must be up-to-date and paid in full at start of package. CANCELLATIONS Sessions may be cancelled or changed by phone or email with no charge up to 24 hours prior to the beginning of scheduled class. If a reservation is cancelled or changed without 24 hour notice , you will be charged the full cost of the session. Clients using a class package- late cancellation, changed appointments without 24 hour notice, or no-show appointments results in the loss of that class. PUNCTUALITY FOR SESSIONS All private sessions begin at the scheduled time and run for the duration of the appointment. Please arrive on-time for your session – arriving late will decrease your workout time. I accept and agree to the terms above * 1. I represent that I am physically capable of participating in instruction, training, exercise, and other programming provided by Corps Technique, LLC and its instructors. I understand that physical exercise can be strenuous and subject to risk of serious injury and I understand that no exercise/activity program should be undertaken without the consent of a medical doctor and I am responsible for undertaking to obtain such consent. 2. I agree that if I engage in any physical activity, Corps Technique private session, (studio/online), or group class, including any Corps Technique event/workshop, I do so ENTIRELY AT MY OWN RISK. 3. I agree that I am voluntarily participating in the activities provided, directly and indirectly, by Corps Technique and the use of facilities and premises provided and ASSUME ALL RISKS of injury, illness or death. 4. I understand that the exercises provided by Corps Technique may be extremely demanding and I take full responsibility for knowing, monitoring and acting within my abilities and learning and incorporating any modifications or adaptations necessary to proceed with such activities in a safe and appropriate manner. 5. I agree that Corps Technique, its directors, officers, members, employees, agents and assigns shall not be liable or responsible for any injuries to me which may occur as a result of (a) my use of all equipment provided by Corps Technique and my participation in any activity, class, program or instruction, (b) the sudden and unforeseen malfunctioning of any equipment, (c) Corps Technique's instruction, training, supervision or dietary recommendations. 6. I acknowledge that I have read this Waiver & Release and understand that it is a RELEASE OF LIABILITY. 7. I expressly agree to release and discharge Corps Technique and its directors, officers, members, employees, agents, affiliates, representatives, successors, assigns and instructors from any and all claims, causes of action or judgments that may arise out of any of the events noted in numbers 1 through 7 above and I agree to voluntarily forfeit or waive any right that I may otherwise have to bring legal action against Corps Technique for personal injury or property damage. To the extent that statute or case law does not prohibit release for ordinary negligence, this release applies to any ordinary negligence on the part of Corps Technique, its agents, officers, members, directors and employees. 8. I grant Corps Technique permission to use my likeness in photograph and video in any and all of its publications and in any and all other media, in perpetuity, and for other use by Corps Technique. I will make no monetary or other claim against Corps Technique for the use of such photograph and video. I have read this release of liability and assumption of risk agreement, fully understand its terms. By checking the box, I voluntarily agree to the terms and conditions stated above. Thank you! Zoom link: On day of session check your inbox for class link. Please feel free to DM, or contact me with any questions or concerns. See you on the mat!!!
