top of page

Agreement and Release of Liability Form


In consideration for being allowed to participate in the activities and programs of SANDRA BASIC - MALINOWSKI at © I do hereby waive all responsibilities or liability for any (i) errors, mistakes, or inaccuracies of content; (ii) personal injury or property damage, of any nature whatsoever, resulting from your access to or use of the services provided by SANDRA BASIC-MALINOWSKI; and (iii) any unauthorized access to or use of these secure servers and/or any and all personal information stored on the website.
I also hereby release SANDRA BASIC-MALINOWSKI from any responsibility or liability for any injury or damage to myself, including those caused by the negligent act or omission of any kind of services way arising out of or connected with my participation in any activities of SANDRA BASIC - MALINOWSKI PILATES.

I understand and am aware that strength, flexibility and aerobic exercise, including the use of equipment, are potentially hazardous activities. I also understand that fitness activities involve the risk of injury and even death, and that I am voluntarily participating in these activities and using equipment and machinery with knowledge of the dangers involved. I understand this program does not provide any form of medical treatment, nor are its fitness professionals licensed medical practitioners. I hereby agree to expressly assume and accept any and all risks of injury or death.


Signature: _____________________________ Date: _____________


Print name: __________________________

To create electronic signature, you can use Adobe reader if you have one, or click here.

bottom of page