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PARENTAL CONSENT FORM
Full name (Parent/Guardian)
*
Email (Parent/Guardian)
*
Relationship to participant
*
Contact number (Parent/Guardian)
*
Participant full name
*
Contact number
*
Date of birth
*
Day
Month
Year
Has your child been diagnosed with any medical conditions, injuries, or physical limitations we should be aware of?
Is your child currently taking any medication that may affect their ability to exercise?
Yes
No
Other
Please list any relevant injuries, surgeries or ongoing treatment or medications.
Do you give permission for your child to take part in Reformer Pilates group classes/ one to one. Confirming that to the best of your knowledge they are fit, well, and able to safely participate?
*
Yes
No
Emergency contact name
*
Emergency contact number
*
Does your child have any allergies or conditions that we should be aware of in an emergency?
In the unlikely event of an emergency do you give permission for the instructor to administer basic first aid and contact emergency services if required?
*
Yes
No
Please read and confirm the following statement: I confirm that:
*
I am the parent or legal guardian of the participant named above.
I understand that Reformer Pilates is a physical exercise method requiring safe participation and instructor guidance.
I confirm that my child is medically and mentally able to participate in Reformer Pilates sessions at The Forge Reformer.
I understand that it is my responsibility to inform the studio of any changes in my child's health.
I agree to hold The Forge Reformer harmless from any injury resulting from failure to follow instructions or from undisclosed medical information.
I give consent for the instructor to provide appropriate hands on corrections to support safe alignment & technique
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