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Welcome to Belaya Form 🤍

We're so excited to have you join our community! Before attending your first class, please take a few minutes to complete your Member Intake & Liability Waiver below. This information helps us provide a safe, personalized experience while ensuring we can best support your health, wellness, and fitness goals. Once submitted, you'll be all set to book classes and begin your journey with us. We can't wait to welcome you into the studio!

Birthday
Month
Day
Year
Multi-line address
Have you ever practiced Pilates before?
Current fitness level?
Medical History
Please Check All That Apply
What are your goals?
Will you be using Belaya Form childcare?
I grant Belaya Form permission to use photographs and/or videos of me for promotional purposes, including social media, the website, and marketing materials.

Participant Agreement, Liability Waiver & Studio Policies

By purchasing a membership, class pack, workshop, or attending any class, childcare service, event, or wellness offering at Belaya Form LLC, I acknowledge that I have read, understood, and voluntarily agree to the following terms:

1. Assumption of Risk

I understand that Pilates, reformer Pilates, mat Pilates, strength training, barre, stretching, mobility training, wellness classes, workshops, childcare services, and all related activities involve inherent risks that may result in injury, illness, disability, or property damage. I voluntarily choose to participate and assume all risks, known and unknown, associated with my participation.

2. Release of Liability

To the fullest extent permitted by Indiana law, I release, waive, and hold harmless Belaya Form LLC, its owners, instructors, employees, contractors, volunteers, and affiliates from any and all claims, liabilities, damages, losses, or expenses arising from or relating to my participation, except in cases of gross negligence or willful misconduct.

3. Health Declaration

I certify that I am physically capable of participating in exercise and fitness activities. I understand it is my responsibility to consult my physician before beginning any exercise program if I have concerns regarding my health.

I agree that I will not attend class if I am experiencing:

  • Fever or contagious illness

  • Vomiting or diarrhea

  • Communicable illness

  • Any condition that may place myself, instructors, or other members at risk

4. Medical Conditions & Injury Disclosure

I understand that it is my responsibility to inform Belaya Form instructors before participating in class of any injuries, surgeries, chronic conditions, pregnancy, medications, physical limitations, or other medical concerns that may affect my ability to safely participate.

Current injuries, medical conditions, or limitations I wish to disclose:

I understand that failure to disclose relevant medical information may increase my risk of injury.

5. Pregnancy

If I am pregnant, I understand that I should obtain medical clearance from my healthcare provider before participating. I agree to notify my instructor prior to each class so appropriate modifications may be provided.

6. Childcare Liability (If Applicable)

If I utilize Belaya Form childcare services, I understand and agree that:

  • Childcare is provided solely as a convenience while I participate in scheduled studio activities.

  • I remain the parent or legal guardian responsible for my child.

  • I authorize Belaya Form staff to reasonably supervise my child during my scheduled class.

  • I acknowledge that minor accidents may occur despite reasonable supervision.

  • I release Belaya Form LLC, its owners, employees, contractors, and childcare staff from liability for injuries or incidents occurring during childcare except where caused by gross negligence or willful misconduct.

  • I agree to disclose allergies, medical conditions, medications, behavioral concerns, emergency contact information, and any other information necessary for my child's safety.

  • I understand that sick children may not attend childcare services.

7. Photography & Video Release

I understand that photographs and videos may occasionally be taken during classes, events, workshops, or within the studio.

Unless I notify Belaya Form in writing, I grant Belaya Form LLC permission to use my likeness, voice, photographs, and video recordings for promotional materials, advertising, social media, website content, printed materials, and other marketing purposes without compensation.

8. Minimum Class Attendance

Belaya Form reserves the right to cancel any scheduled class with fewer than two registered participants. If a class is canceled, members will retain their class credit or be offered an alternative class when applicable.

9. Studio Policies

I agree to:

  • Arrive on time for class.

  • Follow all instructor directions.

  • Treat instructors, staff, members, and studio property with respect.

  • Wear appropriate athletic attire.

  • Comply with all current and future studio policies established by Belaya Form.

10. Emergency Medical Care

If I become injured or incapacitated during participation and emergency medical care is deemed necessary, I authorize Belaya Form staff to obtain emergency medical assistance on my behalf. I understand that I am solely responsible for any medical expenses incurred.

11. Agreement

By purchasing a membership, booking a class, attending a workshop or event, utilizing childcare services, or participating in any Belaya Form activity, I acknowledge that I have carefully read this Agreement, understand its contents, and voluntarily agree to all terms.

I understand that I am giving up certain legal rights, including the right to bring certain legal claims against Belaya Form LLC, to the fullest extent permitted by law.

I understand that this Agreement shall remain in effect for all future visits, memberships, class packages, workshops, childcare services, events, and other activities at Belaya Form LLC unless revoked or replaced in writing by Belaya Form.

12. Equipment Use & Grip Sock Policy

I understand that Pilates reformers, towers, chairs, barrels, weights, resistance equipment, and all other studio equipment require proper instruction and safe use. I agree to use all equipment only as directed by Belaya Form instructors and will immediately notify an instructor if I believe any equipment is damaged, unsafe, or malfunctioning.

I agree to follow all instructor guidance throughout class and understand that unsafe, reckless, or improper use of equipment may result in my removal from class without refund if necessary to protect myself, other participants, or studio equipment.

Grip socks are required for all reformer-based classes. I understand this policy exists to promote participant safety, maintain studio hygiene, and protect Belaya Form's equipment. Belaya Form reserves the right to refuse participation to anyone who does not comply with this requirement.

I agree to exercise reasonable care while using all studio equipment. I understand that I may be held financially responsible for damage resulting from intentional misuse, abuse, negligence, or failure to follow instructor directions. I understand that normal wear and tear is expected and is not the responsibility of members.

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