Important to fill in

Please click if you have any following conditions* high blood pressure Diabetes Chest pain Dizziness Surgeries in the last 5 years Epilepsy Heart condition Osteoporosis Hip pain Glaucoma Anxiety/depression Low blood pressure Knee pain Pregnancy None of above Are you currently on any sort of medication* Yes No Has doctor advise you not to perform any strenuous activity? Yes No Please list any other health concerns, injuries,allergies or medical conditions* By participating in pole fitness, yoga, flexibility, Pilates, or any other classes, you agree to the following terms: Physical activity involves an inherent risk of injury, including the possibility of serious physical injury. By participating, you voluntarily assume all risks associated with these activities and release Pole Fitness Benidorm, its owner, Gera Evtukhova, and its instructors from any and all liability, claims, demands, or causes of action arising out of or related to your participation. Participant’s Name: _* I am aware of the physical risks involved with exercise and understand it is my personal responsibility to consult with my doctor regarding my participation. I have no medical conditions, that I am aware of, which would prevent me from taking part in classes or workshops, and I assume responsibility for any risk or injury I may sustain as a result of my participation. I understand that it is my responsibility to find a pace that suits me.* In consideration of being permitted to participate in yoga, pole fitness, Pilates, flexibility, or any other classes, I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby release, waive, and discharge Pole Fitness Benidorm/Gera Evtukhova, its owners, officers, employees, instructors, and agents from any and all claims, demands, actions, causes of action, or liabilities arising out of, relating to, or in any way connected with my participation in yoga, pole fitness, Pilates, flexibility, or any other classes.* I have read the above release and waiver of liability and understand its contents. I agree to the terms and conditions stated above. I understand that I am giving up substantial rights by signing it, and I sign it freely and voluntarily without any inducement.*