Studio Policies Pilates

Thirty One Ten Fitness Studio Policies Cancellation Policy In an effort to provide the highest level of quality instruction and service, the studio keeps a select number of appointments available each day. Consequently there is often a waiting list. As a courtesy to those clients and the studio, please provide 24 hours notice if you need to reschedule your session. 48 hours notice is required for semi-private sessions so that the remaining client also has the option to reschedule. If sufficient notice is not provided, the full session fee will be charged. Emergency Cancellation Policy To accommodate illness and other emergency situations, each client is allowed two “emergency cancellations” per calendar year in which the session fee is waived. If rescheduling or canceling becomes chronic, you may be asked to surrender your time slot to someone on the wait list and choose a time that you can commit to more consistently. In the event of inclement weather, rescheduled sessions will not be counted as an “emergency cancellation” as the highest priority is your safety. Payment Payment is expected at the time of service unless packages are purchased in advance. Please make your payments in cash, credit card or with a check payable to Thirty One Ten Fitness. There will be a $25 charge for all NSF returned checks. Session packages and Gift Certificates are non-refundable and expire according to the schedule associated with the package. Attire Please wear comfortable clothing that is easy for you to move in. Workout apparel does not need to be skin tight, but more form fitting is better than overly baggy as it helps you better see your alignment. When choosing bottoms, please be aware you will often be in positions in which your feet are in the air or above your head. Please make sure that your attire does not have protruding zippers, buckles, snaps, etc that can scratch and tear the equipment. Please refrain from wearing perfume and heavy lotions. Session Length Private and semi-private sessions are 50 – 55 minutes in length. It is important that we begin each session on time because each session must end on time. Please call the studio at 954647-9142 if you are stuck in traffic and will be late. You will receive a courtesy call if you are ten minutes late for your session. Sessions will be considered forfeited if you are more than 20 minutes late for a private session or 10 minutes late for a semiprivate. Transfers If due to illness or injury, pre-paid sessions are not able to be used before the expiration date, remaining sessions may be transferred to the next package purchased. In this case, the used portion of the expired package will revert to the single session rate and the balance can be transferred. If no additional packages will be purchased, as in the event of relocation or serious injury, the same transfer formula applies. However, the remaining balance needs to be transferred to someone who is not a current client at the studio. I have read and accept these policies. Signed:_______________________________ Date:______________

(All information is confidential) Name:______________________________________________________ Email Address:_______________________________ Address:______________________________________________________ City:_________________________ State:______ Zip:_____________ Phone Numbers (Please indicate (H) Home, (W) Work, (C) Cell):_____________________________________________ The best way to reach you is:______________________________________ Date Of Birth: ___________________________Occupation:_____________________________ How did you hear about us? _______________________________________ What are your training goals? ___________________________ What types of exercise or physical activities do you do regularly? __________________________________________ Please describe any injuries aches or pains in your body:___________________________________________________ On the body outlines below please circle any places where you feel any level of tension, discomfort, stress, pain, tightness, irritation, etc. Please describe the intensity and the duration of the sensation.

(Front)

(Back)

Emergency Contact Information: Name:__________________________ Phone:_________________________Relation:________________________ Please note any medical information that would need to passed on to health care providers in the event of an emergency (i.e. drug interactions, allergies, etc.) ________________________________________________________________________________________________________

\ Thirty One Ten Fitness Liability Release: ________________________ (“Participant”) expressly agrees that participation in the activities of Thirty One Ten Fitness LLC (“Company”) and use of all the Company’s equipment, undertaken by the Participant and/or the Participant’s guest shall be at the sole risk of the Participant and the Company shall not be liable in any fashion for the injury or damages(s) to the Participant, the Participant’s guests or the property of the Participant or any guest. The Company shall not be subject to any claim, demand, injury, or damages whatsoever, including without limitation, those demands resulting from any acts of active or passive negligence on the part of the Company, its officers, owners, agents or employees. The Participant for him/herself and on behalf of his/her executors, administrators, successors and assigns, does hereby expressly forever release and discharge the Company, its successors and assigns, as well as its officers, owners, agents and employees from all claims, demands, injuries, damages or cause of action, and agrees to save, indemnify, and hold harmless the Company, its officers, owners, agents and employees from all costs, loss, expense, and/or damage arising out of or in connection with the subject matter of the waiver of claims, including reasonable attorneys fees. I have carefully read, understand and voluntarily sign this Document and acknowledge that it shall be effective and binding upon myself and my family and my heirs, executors, representatives and estate. ___________________________ ___________________________ (Printed Name) (Signature) ___________________________

(Date)