Free editable waiver sample

Pilates Waiver Template

Edit, copy, or download this free sample. Includes activity-specific wording, participant details, and signature lines.

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Pilates Waiver — Sample
Business / organization: [Business name]
Location: [Address]
Date / session: [Date and session]

PARTICIPANT AND CONTACT DETAILS
Client name, email, and phone: ____________________
Class format and introductory appointment date: ____________________
Previous mat or reformer experience: ____________________
Emergency contact name and phone: ____________________
Movement concerns for an instructor conversation: ____________________
Hands-on instruction preference where relevant: ____________________
Signature and date: ____________________

ACTIVITIES COVERED
We offer instructor-led Pilates mat and reformer classes, private sessions, and introductions to spring-based Pilates equipment.
Included activities and operating details: [Adapt this description to your operation.]

ACKNOWLEDGEMENT OF RISKS
I understand that Pilates involves risks, including:
• Loss of balance on a moving reformer carriage
• Pinching or recoil involving springs and straps
• Falls while mounting or leaving raised apparatus
• Strain during resisted, extended, or unfamiliar movements
I understand that these examples do not describe every possible risk.

AGREEMENTS
☐ I will wait for instruction before changing springs, straps, or apparatus settings.
☐ I will tell the instructor if a movement feels uncomfortable or I need help getting on or off equipment.
☐ I understand I may ask for a different cue or decline hands-on guidance during a session.

RELEASE AND CONSENT — SAMPLE WORDING
To the extent permitted by applicable law, I voluntarily assume the risks described in this agreement and release [Business name] from claims arising from my participation in the described activities, except claims that cannot lawfully be released.
If signing as a parent or guardian, I confirm my authority to consent to the named minor’s participation. This consent does not release rights that applicable law does not allow a parent or guardian to waive.

SIGNATURE
I have read this agreement and had the opportunity to ask questions before signing.
Signer name: ____________________
Parent / guardian name (if applicable): ____________________
Signature: ____________________    Date: ____________________

Sample for adaptation and legal review. Have qualified counsel review the completed agreement for your operation and jurisdiction before use.

Sample for adaptation. Have qualified counsel review your completed agreement for your operation and jurisdiction before use.

From sample to signed waiver

Get the paperwork done before arrival.

Share the waiver after the introductory session is booked. Staff confirm completion and hand the new client to the instructor before springs, straps, or footbars are adjusted.

1. Build your digital version. Start with this activity in the AI wizard, then edit your draft and fields.
2. Share your published waiver. Send the signing link ahead of time or display its QR code.
3. Find the signed record. Look up completed waivers when people arrive.

Create my digital waiver

Free to start. No credit card required. Your activity is prefilled; sample edits are available through copy or download.

Your business

Pilates Waiver

Review the agreement, add your details, and sign.

Client name, email, and phone

I will wait for instruction before changing springs, straps, or apparatus settings.

Signature

Complete waiver

Illustrative signing preview. Your published form reflects the fields and wording you choose.

01
Client and session details
Identify the client, first session, and private or group format. Ask about prior apparatus experience to support the instructor's opening conversation.
02
Mat and apparatus activities
Name the equipment used, such as reformers, towers, chairs, and small props. Include only apparatus offered in the covered program.
03
Movement and equipment risks
Explain balance changes, spring tension, moving surfaces, and exertion. Place your reviewed risk and release terms alongside these concrete descriptions.
04
Setup and instructor cues
Explain who changes springs and footbars, how clients mount equipment, and when to wait for assistance rather than copying another participant.
05
Participation preferences and concerns
Provide a route to discuss movement adjustments and hands-on instruction preferences. Make clear that clients can ask to pause or decline a cue.
06
Emergency contact and agreement
Collect the emergency contact and participant signature. Label studio booking policies and optional photographs independently from the activity agreement.

Put it into practice

Make arrival easier for your team.

01
Put the signing link in introductory appointment confirmations
02
Allow the instructor to review relevant concerns before assigning an apparatus station
03
Keep a QR option at reception for walk-ins so the instructor can continue preparing the room

Before publishing

Make it specific to your operation.

01
Match apparatus names to the equipment in your studio
02
Describe the introduction required for first-time reformer clients
03
Set a clear process for communicating movement concerns
04
Explain clothing and grip-sock policies where applicable
05
Have counsel and your insurer approve the final agreement

Questions to settle

Review before you publish.

Can mat and reformer Pilates share a waiver?

They can if the document clearly describes both. A mat-only form may omit moving carriages and spring equipment, so review the language before extending it to apparatus classes.

Should hands-on adjustments be included in the signature?

Explain your teaching approach and give clients a clear way to state their preference. A signed form should support an ongoing conversation; preferences can change during class.

Does the waiver replace a reformer introduction?

No. Staff still need to show new clients how your specific apparatus works. Use the signed record to finish intake, then leave time for equipment setup and questions.

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Put your waiver to work

Create your digital Pilates waiver.

Start with your activity in the AI wizard. Edit your waiver, share a signing link, and find completed records before check-in.

Create my digital waiver

No credit card required.

Pilates Waiver Template

Read it. Edit it. Make it yours.

Get the paperwork done before arrival.

Pilates Waiver

Client and session details

Mat and apparatus activities

Movement and equipment risks

Setup and instructor cues

Participation preferences and concerns

Emergency contact and agreement

Make arrival easier for your team.

Make it specific to your operation.

Review before you publish.

Create your digital Pilates waiver.