* Mailing Address
Date of Birth
Date of Birth
* Emergency Contact
Emergency Contact Phone
* Emergency Contact Phone
What is your current exercise routine?
What do you hope to achieve with the help of Exhale Pilates services? What are your goals?
Informed consent / waiver of liability
I agree that the information I have given is true and correct. I have read and understood all wording and acknowledge it is my responsibility to inform Exhale Pilates of any changes to the information given. I am participating in physical activity at Exhale Pilates +, which may include, but not limited to Pilates. I recognize that any physical activity may be strenuous and may cause injury, and I am fully aware of the risks and hazards involved in such activity, and assume full responsibility for these risks. I knowingly, voluntarily, and expressly waive any claim I may have against Exhale Pilates + for injury or damages that I may sustain as a result of participating in these activities. Myself, my heirs, and legal representatives forever release from liability, waive, discharge, and covenant not to sue Exhale Pilates+ Exhale Pilates Studio, LLC, Exhale Pilates Studio, Exhale's owners and its instructors for any injury or death caused by any negligent act or omission. I have read the above waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.
Thank you for submitting our new client form. If you are a minor (under the age of 18) please have a parent or guardian present at the start of your first session.
Please arrive 10 minutes prior to class starting to familiarize yourself with our studio. We are a grippy sock or clean athletic shoe studio. Grippy socks are sold at Exhale for your convenience.
Filtered water is available, however we do not have cups so please arrive with a water bottle. Mats are provided however you are welcome to bring your own.
Welcome to the Exhale Pilates Community!