client liability waiver, assumption of risk, and informed consent
Bluebird Pilates LLC | Baker City, Oregon
Please read this document carefully before participating in any Bluebird Pilates class or session. By signing below, you acknowledge that you understand and voluntarily agree to the terms outlined in this document.
1. Acknowledgment of Physical Activity
I understand that Pilates is a form of physical exercise involving muscular effort, stretching, balance, coordination, and controlled movement. Reformer Pilates involves specialized equipment, including a moving carriage, springs, ropes, straps, footbars, and other adjustable components.
I understand that participation in Pilates classes or private sessions may involve inherent risks, including but not limited to:
Muscle soreness, strains, sprains, or other musculoskeletal injuries.
Falls, loss of balance, or collisions with equipment or other participants.
Pinching, trapping, or other injuries associated with moving equipment, springs, straps, or mechanical components.
Aggravation of pre-existing injuries or physical conditions.
Dizziness, fainting, cardiovascular events, or other adverse physical responses to exercise.
Other injuries or complications that may arise from physical exertion or participation in exercise.
I understand that these risks may exist even when instructors provide guidance, equipment is maintained, and reasonable safety precautions are followed.
2. Assumption of Risk
I voluntarily choose to participate in Bluebird Pilates classes, private sessions, and related activities.
I understand the nature of the activities and the risks described above, and I voluntarily assume the inherent and reasonably foreseeable risks of participation, including the risk of injury, to the extent permitted by Oregon law.
I understand that I am responsible for deciding whether to participate in any exercise and for communicating concerns or limitations that may affect my ability to participate safely.
3. Health Representation and Participant Responsibility
I understand that I am responsible for evaluating my own health and physical readiness to participate in Pilates.
I agree to:
Disclose relevant injuries, medical conditions, physical limitations, or other concerns that may affect safe participation.
Seek guidance from an appropriate healthcare professional when I am uncertain whether participation is appropriate.
Inform my instructor of relevant changes in my health or physical condition.
Follow instructor directions regarding safe equipment use, exercise technique, and modifications.
Stop an exercise and notify my instructor if I experience pain, dizziness, unusual shortness of breath, or other concerning symptoms.
Avoid using equipment in a manner that has not been demonstrated or authorized by the instructor.
I understand that an instructor may recommend modifications, decline to provide a particular exercise, or ask me to discontinue participation when a safety concern arises.
I acknowledge that no exercise program is guaranteed to be suitable for every individual.
4. Medical and Physical Therapy Disclaimer
I understand that Bluebird Pilates classes and private Pilates sessions are intended primarily for exercise, movement education, and general wellness.
Although an instructor may have professional training or a background in physical therapy or another healthcare discipline, Pilates instruction does not automatically constitute medical care or physical therapy treatment.
Unless a separate professional healthcare service has been expressly established, instruction is not intended to diagnose, treat, or cure a medical condition and is not a substitute for individualized medical advice, diagnosis, or treatment.
I understand that I should consult an appropriate healthcare professional regarding medical concerns, injuries, pregnancy or postpartum considerations, recovery from surgery, or other conditions that may affect participation.
5. Equipment Use and Studio Safety
I agree to use all reformers and other studio equipment only as instructed and to follow applicable studio rules.
I will not adjust springs, reposition equipment, or attempt unfamiliar movements without appropriate instruction when doing so could create a safety risk.
I agree to notify an instructor of damaged equipment, unsafe conditions, or other hazards that I observe.
I understand that I share responsibility for maintaining a safe environment and will treat instructors, other participants, and studio property respectfully.
6. Release of Liability
To the fullest extent permitted by Oregon law, I release and hold harmless Bluebird Pilates LLC and its owners, instructors, employees, and authorized representatives from claims for injuries, losses, or damages arising from the inherent risks of my voluntary participation in Pilates classes, private sessions, or related activities.
To the extent permitted by applicable law, this release also applies to claims arising from ordinary negligence in connection with those activities.
This release does not apply to gross negligence, reckless or intentional misconduct, or any liability that cannot lawfully be waived or released under Oregon law.
I understand that this provision is intended to describe the scope of the release and does not guarantee that every provision will be enforceable in every circumstance.
7. Emergency Medical Assistance
If I experience a medical emergency during a class or session, I authorize Bluebird Pilates personnel to take reasonable steps to seek emergency assistance, including contacting emergency medical services when appropriate.
I understand that Bluebird Pilates personnel may not be medical professionals acting in a healthcare capacity and that emergency assistance may involve costs for which I may be responsible, subject to applicable law and insurance coverage.
Where reasonably possible, I will provide accurate emergency contact information and notify the studio of relevant emergency considerations.
8. Personal Belongings
I understand that I am responsible for my personal belongings while visiting the studio.
To the extent permitted by law, Bluebird Pilates is not responsible for the loss, theft, or damage of personal property brought onto the premises.
Nothing in this section excludes liability that cannot legally be excluded.
9. Acknowledgment and Voluntary Agreement
By signing this document, I acknowledge and agree that:
I have read this document in its entirety.
I understand the nature of reformer Pilates and the risks associated with participation.
I have had the opportunity to ask questions about this document.
I am voluntarily choosing to participate in Bluebird Pilates activities.
I understand that this document includes an assumption of risk and a release of certain claims to the extent permitted by law.
I am signing this document freely and without coercion.
I understand that I may ask questions or request clarification before signing.
I understand that this document does not waive any rights that cannot lawfully be waived under Oregon law.
10. Participant Information and Signature
Participant Full Name: ______________________________________
Date of Birth: ______________________________________________
Email Address: _____________________________________________
Phone Number: _____________________________________________
Emergency Contact Name: ___________________________________
Emergency Contact Phone: __________________________________
Participant Signature: ______________________________________
Date: ______________________________________________________
11. Parent or Legal Guardian Consent for Minors
Complete this section only if the participant is under 18 years of age.
I am the parent or legal guardian of the minor identified below. I have reviewed this document and understand the risks associated with the minor's participation in Pilates activities.
I consent to the minor's participation and agree, to the extent permitted by applicable law, to the terms of this document on the minor's behalf.
I understand that the enforceability of releases involving minors may be subject to additional legal requirements under Oregon law.
Minor Participant's Full Name: ______________________________
Parent or Legal Guardian's Full Name: _______________________
Relationship to Minor: _____________________________________
Parent or Legal Guardian Signature: _________________________
Date: ______________________________________________________
B
Bluebird Pilates LLC
Baker City, Oregon
Thank you for taking the time to review this document and for being part of the Bluebird Pilates community.

