Consent and Privacy Agreement:

Soulates Studio LLC

Consent & Privacy Agreement

Effective Date: ___________________

Thank you for choosing Soulates Studio LLC! We value your privacy and are committed to protecting your personal information. Please review and sign this consent form acknowledging your understanding and agreement with our policies.

1. Personal Information Consent

I acknowledge that Soulates Studio LLC may collect, store, and use my personal information, including my name, contact details, emergency contact, payment information, and health-related details, to provide and manage studio services. I understand that my information will only be shared with third-party service providers when absolutely necessary to conduct business operations (e.g., payment processors, scheduling platforms). Agree

2. Photo & Video Release

I acknowledge that Soulates Studio LLC [Studio Name] may take photos or videos during classes or events for promotional purposes on social media and the internet. I understand that if I do not wish to appear in such media, I must notify the studio in advance in writing.

3. Communication Consent

I agree to receive emails, text messages, or phone calls from Soulates Studio LLC regarding class schedules, promotions, and studio updates. I understand that I can opt out at any time by notifying the studio.

4. Liability & Health Acknowledgment

I confirm that I have disclosed any relevant health conditions that may affect my participation in studio activities. I acknowledge that participation in Pilates and Yoga involves physical activity, and I assume all risks associated with my participation. I release Soulates Studio LLC from any liability arising from injury or damages incurred during my participation. I hereby declare that: (a) I have had a physical examination by my physician, and/or (b) I have been given permission by my physician to participate, or (c) I have elected to participate in Pilates & Yoga classes at my own discretion.

5. I acknowledge that I am participating in Pilates and Yoga classes voluntarily. I understand and am aware the strength and flexibility exercises associated with these classes may potentially be hazardous activities that I willingly undertake at my own risk.

6. If you are pregnant, please disclose how many weeks. If you are not pregnant, please respond "N/A."

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7. Please disclose any relevant health conditions for informational purposes only below (i.e., back pain or back injury, sciatica, osteopenia, pinched nerve, neck pain or neck injury, osteoporosis, hernia, c-section, abdominal surgery, etc.).*

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8. To participate in a Reformer Pilates class, I understand I must wear pilates socks (socks with grips on the sole), and bring a small towel. I can also purchase them at the studio.

9. I must arrive 10 minutes prior to my scheduled class. I understand that I am unable to wear any type of shoes on the workout floor or on the reformers. I may be barefoot for Yoga or Mat Pilates classes but I must wear the grip socks for the Reformer classes.

10. I understand and acknowledge that I must pay for classes at the time of service and I will be charged the value of one class if I don’t comply with the cancellation window. I understand if I am late to class (scheduled time), I will lose my spot and it may be given to a person on the waitlist.

Electronic Signature & Agreement

By signing this form electronically, I confirm that I have read and understood the Privacy Policy and consent to the collection, use, and sharing of my personal information as outlined above.

I certify that I am at least 18 years of age and am legally authorized to sign this waiver on my own behalf, or I have obtained the signature of my parent or legal guardian.

I certify that the above responses are true and correct and that any dishonest answers may have serious public health or medical implications. I understand this is a continuing obligation and I further agree to update the responses to this waiver if there are any changes. If you agree and accept, please type your First and Last name as your electronic signature below.

Full Name: ____________________________________________________________

Email Address: ________________________________________________________

Phone Number: ________________________________________________________

Signature (Typed Name as Electronic Signature): ____________________________

Date: ____________________________