Scolio-Pilates Student

I am enrolling in a program of strenuous physical activity including exercise on with and without the Pilates equipment and related pillows and devices offered by Karena Thek, employees or independent contractors who work at Pilates Teck, Inc.,  I hereby affirm that I am in good physical condition and do not suffer from any disability that would prevent or limit my participation in this exercise program.

In consideration of my participation in this exercise program, I for myself, my heirs and assigns, hereby release and indemnify and hold harmless Pilates Teck, Inc (its employees, independent contractors and president/owner), from any claims, demands and causes of action arising from my participation in the exercise program.

I fully understand that I may injure myself as a result of my participation with this Pilates exercise program and I hereby release Pilates Teck from any liability now or in the future including, but not limited to, muscle soreness and fatigue, heart attacks, muscle strains, pulls or tears, broken bones, shin splints, heat prostration, knee/lower back/foot injuries and any other illness including mental, soreness or injury, however caused, occurring during or after my participation in the exercise program, whether online or in-person.


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Signed by Karena Thek
Signed On: March 17, 2021

Signature Certificate
Document name: Scolio-Pilates Student
lock iconUnique Document ID: c6855cea0eb0f3f294a2361fb94014402a8b24f4
Timestamp Audit
December 14, 2020 2:17 pm ESTScolio-Pilates Student Uploaded by Karena Thek - IP,