Vitality Pilates
Vitality Fitness, Inc.

JUMPBOARD WAIVER

First Name:

Last Name:

Email:

Phone Number:

Participating in the Jumpboard classes requires instructor approval.

Please list the name of the instructor who has approved you for the Jumpboard class

Vitality Pilates’ Jumpboard classes are not suitable for clients with the following conditions. Please refrain from participating in
Jumpboard sessions if you have one or more of the following ailments:

  • Chronic or acute ankle sprain or any instability in the foot/ankle
  • Plantar Fasciitis
  • Calf strain or Achilles tendonitis
  • Misalignment of the foot/ankle
  • Any ligament strains, sprains or tears, especially ACL or MCL
  • Misalignment of the knee
  • Knock knees or bowlegs
  • Any current acute or chronic low back pain
  • Any recent or healing injuries, including sprains, strains, fractures of the lower extremities, pelvis and low back.
  • Arthritis (any kind) of the lower extremity joints and spine
  • Multiple Sclerosis (MS)
  • Clients with neck pain/injuries should consult their doctor

    • Jumping is more of a cardiovascular activity than standard Pilates classes. Persons with cardiopulmonary conditions,
    such as high blood pressure, heart conditions, asthma, etc. should consult their doctor before taking a jumping class.

    Waiver of Liability

  • I understand that participation in Pilates and any other conditioning activity presents some unavoidable risk of injury, especially to people who have pre-existing injuries, illnesses or medical disabilities.
  • I understand a medical evaluation is advisable before commencing any program of physical conditioning or exercise. I intend to keep Vitality Pilates personnel fully informed of any physical condition or disability which would prevent or limit my participation in an exercise or physical conditioning program.
  • I expressly assume all risks of my participation in the programs of Pilates conducted by Vitality Fitness Inc. and waive any claim which I might otherwise bring against Vitality Fitness Inc. and its personnel as a result of injuries resulting from or relating to my participation in Pilates programs.
  • I understand that late cancellations and “no shows” can result in loss of funds for Vitality and agree to pay in full for all appointments that are not cancelled at least 24 hours in advance.
  • Vitality Fitness Inc. is not responsible or liable for any articles lost, stolen or damaged, in or about the instruction premises.
  • I understand that all purchases are non-refundable.

    • I agree to the terms above.