Waiver &
Release Form
Please read the following terms carefully.
By participating in any class provided by:
Ballet Core ABN 92 759 268 405
you consent to, and agree to release the Instructor
Nycole-Louise Oborn-Smith from liability of injury, including but not limited
to risk of accidents, injuries including injuries to soft tissue, muscles,
tendons and ligaments, injury to bone including but not limited to fractures
and stress fractures, illness and even the possibility of death according to,
these terms. Unless the Instructor notifies you otherwise, this waiver and
release will apply to all classes undertaken by you with the Instructor.
You acknowledge that:
● you are over 18 years of age.
● you understand that the classes are a form of physical
activity and that there are inherent risks in participating in any form of
physical exercise.
● you have disclosed, or will disclose to the Instructor
prior to the class commencing, any pre-existing conditions including but not
limited to diabetes, asthma, heart disease, and pregnancy, or injuries, current
or previous, that may place you at a higher risk of injury or inhibit your
ability to participate in a class, this includes, but is not limited to: soft
tissue or bone injuries, pain or recent surgery; pregnancy or if you have
recently given birth; or respiratory or heart conditions or high blood
pressure.
● you will notify the Instructor if you experience any pain
throughout the class and will immediately stop exercise/participating in the
class, especially if requested by the Instructor to do so.
● based on information you provide, the Instructor may
decide not to allow you to participate in a class, or may require you to
provide a medical certificate affirming that you are able to participate in a
class before allowing you to join, in the Instructor’s sole discretion.
● recommendations or instruction provided by the Instructor
may not be tailored for your particular skill or ability level and it is your
responsibility to assess whether you are able or want to participate in all or
part of a class; you may ask the instructor for a modification exercise if
you feel that a particular exercise is not suited to your individual needs.
● you are solely responsible for ensuring that your physical environment is suitable for your participation in any class.
To the extent permitted at law, you release and hold the
Instructor (and where applicable its, directors, employees and representatives)
harmless from any liability, cost, expense, damages or claims (including claims
of negligence) arising from or which may be suffered or incurred in connection
with your participation in any classes provided by:
Ballet Core or the Instructor Nycole-Louise Oborn-Smith
Signed by:
Date: