TPK Liability Waiver Pregnancy Addendum
In exchange for participation in the activity of Pilates Fitness Training (the “Exercises”) organized by The Pilates Krewe Holdings LLC, The Pilates Krewe LLC, and The Pilates Krewe II LLC (collectively "TPK"), of 3504 W Palmira Ave., Tampa, Florida, 33629, and/or use of the property, facilities, and services of TPK, I agree for myself to the following:
As an expectant mother, I may be given instructions regarding the Exercises that are modifications designed to accommodate my pregnancy. As a result, it will be known to other members of TPK and its employees that I am pregnant. I agree to follow these specialized instructions. This may include sitting out certain Exercises from time to time. I agree to observe and obey all posted rules and warnings and further agree to follow any oral instructions or directions given by TPK or the employees, representatives, or agents of TPK. It is advised that after 20 weeks’ gestation, exercises that involve lying flat on your back require the pregnancy wedge apparatus.
I recognize that there are certain inherent risks associated with the Exercises while pregnant, and I assume full responsibility for personal injury to myself and my unborn child(ren) and further release and discharge TPK for injury, loss, or damage arising out of my use of, instruction from, or presence upon the facilities of TPK, whether caused by the fault of myself, TPK, or other third parties. Risks include but are not limited to injury from slipping and falling, tripping over equipment, use of equipment (whether proper, supervised, or unsupervised), stress (physical or mental), fatigue, complications arising from pregnancy, or dehydration.
I warrant that I am in good physical condition and currently experiencing a healthy pregnancy. Furthermore, I am free of injury, disability, ailment (temporary or long-term), or impairment (physical or mental) that would prohibit, restrict, or prevent me from participating in the Exercises. Furthermore, TPK recommends that I consult a physician regarding the Exercises while pregnant prior to participating and that I represent that a licensed medical professional has cleared me to participate in the Exercises. I understand that participation in the Exercises may result in soreness and fatigue and that I am accepting these conditions as part of this agreement. I understand and assume the risks of participating in the Exercises, including the potential for injury to me and/or my unborn child(ren). I acknowledge that I am responsible for informing TPK and its employees of any pre-existing conditions, pains, injuries, or illnesses; or any changes to my physical condition before participating in the Exercises.
Specific Acknowledgements:
(a) I agree to NOT lay down on my back during the Exercises starting in my second trimester unless I am using the pregnancy wedge.
(b) I agree to NOT jump during the Exercises.
(c) I understand that I may receive and will accept modifications to the Exercises while pregnant.
(d) I acknowledge and am aware of certain conditions that may occur as the result of exercising while pregnant, including diastasis recti, supine hypotensive syndrome, symphysis pubis diastasis, and dysfunction.
(e) I have or will obtain approval from my doctor prior to resuming the Exercises after delivery but no sooner than six weeks postpartum.
I agree to indemnify and defend TPK against all claims, causes of action, damages, judgments, costs, or expenses, including attorney fees and other litigation costs, which may in any way arise from my participation in the Exercises and my use of or presence upon the facilities of TPK.
I,
Residing at:
Consent to participation in the activity of Pilates Fitness Training while Pregnant.
I HAVE READ THIS DOCUMENT AND UNDERSTAND IT. I FURTHER UNDERSTAND THAT BY SIGNING THIS RELEASE, I VOLUNTARILY SURRENDER CERTAIN LEGAL RIGHTS.
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Document Name: TPK Liability Waiver Pregnancy Addendum
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