4160 Westport Road, Suite D

Louisville, KY 40207

(502) 409-4200

holly@pilatesvillage.com

 

 

 

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Studio Liability Release
Liability Release Form

 In consideration of being allowed to participate in any way in Pilates Louisville, LLC (dba Pilates Village) related events and activities, the undersigned acknowledges, appreciates and agrees that:

1. The risk of injury from activities involved in this program is significant,
including the potential for permanent paralysis and death, and while particular
rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full
responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions
for participation. If however, I observe any unusual significant hazard during my
presence or participation, I will remove myself from participation and bring such
to the attention of the nearest official immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kind, hereby release and hold harmless Pilates Village and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“Releasees”), with respect to all and any injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.