Liability Release

I subscribe to and accept the following:

* Indicates mandatory field

I agree that Studio to the Power of 3 Inc. shall not be liable for any damages arising from any personal injuries sustained by a guest or a client on or about the premises of Studio to the Power of 3 Inc.
I AGREE*

As a guest or a client, in attending Studio to the Power of 3 Inc. and using its facilities and equipment, I do so at my own risk. I assume full responsibility for any injuries or damages which may occur when using said facilities.
I AGREE*

I do hereby fully and forever release and discharge Studio to the Power of 3 Inc. its owners, contractors, and agents from any and all claims demands, damages, rights of action, or cause of actions, present or future, whether the same be known or unknown, anticipated or unanticipated, resulting from or arising out of my use or intended use of Studio to the Power of 3 Inc. facilities and equipment.
I AGREE*

I warrant, represent and agree that I am in good physical condition and have no disability, impairment, or ailment preventing me from engaging in active or passive exercise, or any such condition that will be detrimental or inimical to my health, safety, comfort, or physical condition if I do so engage or participate.
I AGREE*

Studio to the Power of 3 Inc. shall not be liable for the loss of theft of, or damages to, the personal property of a guest or a client.
I AGREE*

Terms and conditions of sessions:

I understand that 12 hours notice for any changes or cancellation is required. I will be billed for any session in full if 12 hours notice is not given directly to my instructor.
I AGREE*

All prepaid sessions are fully transferable but not refundable. New packages must be paid in full the day of first session.
I AGREE*

All packages expire after 6 months & will not be refundable.
I AGREE*

I understand that under certain circumstances, written medical clearance may be requested prior to commencing or continuing with a program.
I AGREE*

COVID-19 Waiver/Liability:

I agree that should I contract any of the symptoms of COVID-19 I will contact the Studio to the Power of 3, Inc. facility immediately and inform them of my condition.
I AGREE*

I agree to sign a release form/liability each time I visit Studio to the Power of 3, Inc facilities that will verify that I have not come into contact with anyone who has had COVID-19 and that I do not present with any of the symptoms known to be indicative of COVID-19 and that this form will be filed by the studio as needed.
I AGREE*

Name*

Date*

Email*

Birthdate*

Address*

City*

Province/State*

Postal/ Zip Code*

Emergency Contact
Name*


Phone*

Best phone number to reach me at:*

By entering my name electronically I acknowledge the above statements to be true:*


Please list any injuries and the approximate date that it occurred (old & new)

Please list any illness and/or medications that may impact your level of physical exertion and that STUDIO3 should be made aware of:

Please list your current workout/physical activities:

Please list your fitness goals and what you’re hoping to gain by adding a Studio3 workout into your routine:

How did you hear about us?

Would you like to be added to our electronic newsletter mailing list that is sent out periodically to inform clients of promotions, group classes and other events at Studio3
YESNO