Assumption of Risk & Release (download .PDF form here)

I understand that participating in any exercise activity, including Pilates and/or Hoop Dance, involves potential for risk of injury. Certain risks include but are not limited to: muscle, tendon, ligament, and joint injury, as well as any other injury that may arise from this type of activity.

In regards to, and as part of payment for the right to participate in a Pilates and/or Hoop Dance class and/or a private lesson taught by Susan B. Stack, I have and do hereby assume all of the above mentioned risks and any other risks that may arise from my participation in this class and/or private lesson. In the event of injury during my participation in a class or private lesson, I will not hold Susan B. Stack responsible. I understand that it is my responsibility to obtain accident and medical insurance coverage for my participation in any class or services taught by the instructor, Susan B. Stack.

I understand that payment for any class and/or private lesson is due upon registration in order to reserve my place in a class and/or private lesson. I am aware that I must give 24 hours advance notice when canceling a private lesson in order to receive credit for the canceled session. I am aware that because group classes are already discounted, that credit IS NOT given for a canceled or missed group classes. As a courtesy to the instructor, I will make an effort to give notice if I need to miss a group class. I understand that refunds for private lessons are given in the form of credit with Fusion Movement and are not given in monetary form. I also understand that credit for any missed private lesson will be valid for 3 months from the date of the missed session. I have also been informed that all of the required paperwork must be filled out, signed, and reviewed by Susan before I begin my Pilates and/or Hoop Dance program.