Client Enrolement Form | The FORGE REFORMER

Previously The Reformer Lounge

First name

Last name

Phone

Emergency Contact Name:

Emergency Contact number:

Emergency Contact relationship:

Do you suffer from any allergies?

If you answer yes to any of the following questions we will ask you further questions and may request you consult with your doctor before you participate in a class/any other activities with The Forge Reformer.

Have you ever been diagnosed with a heart condition?

Yes

Have you ever been recommended only medically supervised exercise?

Yes

Do you feel pain in your chest at rest or when participating in a physical activity?

Yes

Are you or could you be pregnant or have you given birth in the last 3 month?

Yes

Do you suffer from epilepsy?

Yes

Have you been diagnosed with high blood pressure?

Yes

Do you ever lose consciousness or control of your balance due to dizziness?

Yes

If you have answered yes to any of the above please give more details.

Have you ever been told that you have arthritic joints, Osteoporosis or any bone or joint problem that may get worse by exercise?

Please detail any shoulder, neck, elbow, wrist, spine, hip, knee, ankle & foot problems and what movements cause you pain/need to be avoided?

Do you take regular exercise? Please give details.

Have you done REFORMER Pilates before?

Yes

Please inform us before class if there is any changes to your health or ability to exercise. You agree to stop if you feel pain or discomfort and alert the instructor.

If you have any concerns about participating we recommend consulting your GP before attending.

Liability statement

While we take every precaution to ensure a safe and effective workout, participation in Reformer Pilates at The Forge Reformer involves physical activity that carries inherent risks.

By signing below, I voluntarily accept these risks and release The Forge Reformer and its instructor's from any liability for injury, loss or damage arising from my participation.

Nether the instructor nor The Forge Reformer is responsible for any injury sustained during class if:

You have been advised by a medical professional not to exercise.
You do not disclose relevant health and medical conditions.
You do not follow safety or technique instructions provided by the instructor.
The injury results from the negligence of another participant in the class or studio.

I acknowledge that cancellations within 24 hours of a scheduled session or non attendance will be charged.

I understand that Reformer Pilates may involve hands on corrections or adjustments and I consent to being physically guided or adjusted during sessions. I can withdraw this consent at anytime by informing the instructor.

I confirm the information provided is accurate and complete. I agree to inform the instructor of any changes to my health before future sessions. I take full responsibility for my health and participation.

Terms & Conditions By signing up I agree to

Signature

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Thank you for completing this form we look forward to welcoming you at The Forge Reformer.