Personal details
Medical history
Please tick any conditions that apply to you. This information is kept strictly confidential and helps Erin tailor your sessions safely.
GP consent
If you have ticked any conditions above, please confirm you have consulted your GP before beginning Pilates.
Liability waiver
I understand that Pilates, including reformer-based exercise, involves physical activity that carries an inherent risk of injury. I confirm that I am voluntarily participating in sessions at Railway Cottage Pilates.
I acknowledge that Railway Cottage Pilates and its instructor (Erin Rogerson) cannot be held liable for any injury, loss or damage arising from my participation in sessions where I have failed to disclose a relevant medical condition.
I confirm that the information provided in this form is accurate and complete to the best of my knowledge. I agree to inform Erin of any changes to my health or medical circumstances prior to future sessions.
I give my consent to participate in Pilates reformer sessions at Railway Cottage Pilates and agree to follow the instructor's guidance at all times.
Signature
Please sign below to confirm you have read and agree to the above.
Please complete all required fields and provide your signature before submitting.
Your information is kept strictly confidential and used only to ensure your sessions are safe and tailored to your needs.