SUMMER TEENS PAR-Q & LIABILITY WAIVER

Participant Details

Parent/Guardian Details

Health Questionnaire (PAR-Q)

Please answer the following questions. If you answer YES to any question, please provide details below.

Has your child ever been diagnosed with or currently have:
Is your child currently taking medication?
Has a doctor ever advised your child not to exercise?

Parent/Guardian Consent

I confirm that:

  • I am the parent/legal guardian of the above participant.
  • The information provided on this form is accurate and complete.
  • I will inform Empower Wellness Studio of any changes to my child’s health before attendance.
  • I understand Reformer Pilates is a physical activity involving strength, flexibility, balance and coordination, and while every effort is made to provide a safe environment, participation carries an inherent risk of injury.
  • My child agrees to follow all instructor guidance and safety instructions.
  • I understand that unsuitable or unsafe behaviour may result in my child being asked to leave the session.

 

Supervision & Drop-Off Consent

I give permission for my child to attend the Summer Teens Reformer Pilates Course without me remaining on the premises.

I understand that:

  • My child will be supervised by the qualified instructor during the scheduled class only.
  • Supervision begins at the advertised class start time and ends when the class finishes.
  • I remain responsible for my child before drop-off and immediately after collection.
  • My child should be collected promptly at the end of each session unless alternative arrangements have been agreed in writing.
  • In the event of illness, accident or emergency, every reasonable effort will be made to contact me using the details provided.
I give permission for my child to attend classes without a parent/guardian remaining on site.

Emergency Medical Treatment

If I cannot be contacted in an emergency, I authorise the instructor to obtain appropriate medical treatment for my child if deemed necessary by qualified medical professionals.

Photography (Optional)

Please tick one.

Liability

I acknowledge that Empower Wellness Studio and its instructors will take all reasonable care for participants’ safety. However, I understand that participation is voluntary and that, except where liability cannot legally be excluded, Empower Wellness Studio cannot accept responsibility for injuries resulting from undisclosed medical conditions, failure to follow instruction, or circumstances beyond its reasonable control.

Parent/Guardian Declaration