Wander Movement | Pilates, Yoga & Dance

Liability Waiver & Health Information

Before attending your first class, please complete this digital liability waiver and health information form. This helps us keep everyone safe and informed.

Personal Information

First Name *

Last Name *

Email *

Phone

Date of Birth

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Relationship to Emergency Contact

Health Information

Please provide any relevant health information to help us ensure your safety during classes.

Current Health Conditions

Recent Injuries or Surgeries

Current Medications

I am currently pregnant

Liability Waiver

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

By signing this agreement, I acknowledge that I am participating in fitness activities at Wander Movement, which may include Pilates, yoga, dance, and other movement classes.

I understand that these activities involve inherent risks, including but not limited to physical injury, illness, or death. I voluntarily assume all risks associated with participation.

I release Wander Movement, its instructors, employees, and agents from any liability for injuries, damages, or losses that may occur during or as a result of my participation.

I confirm that I have provided accurate health information and will inform instructors of any changes to my health status.

I understand that this waiver is binding and applies to all future classes at Wander Movement.

Digital Signature *

I have read, understood, and agree to the liability waiver above *

I confirm that the health information provided above is accurate and complete *