Please provide the following information so that we can help you achieve your goals in a safe and most effective way.

Name *
Phone *
Current or previous injuries, surgeries or problem areas. *
Check all that apply, or select 'NONE'.
Waiver of liability *
I have enrolled in one or more fitness programs offered by Dallas Pilates. I have been advised and I understand that participating in one or more fitness programs and conditioning activities, like any physical activity; present some unavoidable risk of injury, especially to people with pre-existing injuries, illness, or disability. I understand that the use of exercise equipment also carries with it the risk of injury. I recognize that many changes may occur as a result of these activities, including possible short-term aggravation of some symptoms, feelings of tiredness, light-headedness, muscle soreness, mood changes, etc. I also understand that a medical evaluation is advisable before commencing any program of physical conditioning or exercise. I have and will continue to keep Dallas Pilates fully informed of any physical condition or disability that could affect my participation in an exercise or physical conditioning program. I acknowledge that that, although the conditioning program I participate in may have substantial physical benefits, neither Dallas Pilates nor its employees or contractors are engaged in diagnosing or treating medical diseases or deficiencies. I expressly assume all risks of my participation in one or more fitness/Pilates classes or programs conducted by Dallas Pilates and waive any claim which I might otherwise bring against Dallas Pilates, it’s officers, directors, shareholders, employees, trainees or contractors as a result of injuries resulting from or relating to my participation in one or more fitness programs. Dallas Pilates shall not be responsible or liable for any article lost, stolen or damaged in the studio. I understand that classes require prior evaluation of my fitness level and that I am responsible for attending the appropriate level class.



155 Oak Lawn Avenue
Dallas, TX 75207