Chicago

* structured, consistent, results-driven

**Performance  | Strength Vibe**



Mat Pilates Session…



* Tuesday 6:30pm – Athletic Core
* Wednesday 5:30pm – Core Conditioning
* Thursday 9:30am – Strength + Mobility
* Saturday 10:00am – Weekend Sculpt



👉 This is your structured training environment

Pilates

📋 Client Intake & Liability Waiver 
🧘‍♀️ The Movement Studio Elevating Life ~ Client Intake & Liability Waiver Form

Welcome!!! This short form helps us tailor your private or duet Pilates/Aerial sessions to your needs. Please complete this before your first visit...

⸻

Sections & Questions

Section 1: Personal Info
• Full Name
• Email Address
• Phone Number
• Emergency Contact (Name + Phone)

Section 2: Movement Goals
• What are your top 1–3 wellness goals? (Paragraph)
• Have you done Pilates, Aerial, or other movement practices before?
• Pilates (Mat/Reformer)
• Aerial
• Yoga
• Strength Training
• None

• What do you hope to gain from your sessions?

Section 3: Health Info
• Are you currently pregnant or postpartum? (Yes/No)
• Do you have any of the following?
• Back pain or disc issues
• Joint or ligament injuries (knee, shoulder, wrist, etc.)
• Osteopenia or Osteoporosis
• Hyper mobility
• Cardiovascular conditions
• None of the above

• Any other conditions we should know about?

Section 4: Liability Waiver

I acknowledge that Pilates and Aerial movement sessions involve physical activity and may carry some risk. I affirm that I am physically capable of participating. I release The Movement Studio and its instructors from liability for injuries sustained during sessions.

I agree to inform my instructor of any medical changes and to seek medical clearance as needed.

• Do you agree to the terms above? (Yes, required)

Section 5: Photo/Video Consent (Optional)

From time to time, we may ask to share client photos or videos for social media or educational purposes.

• Do you give permission to use your image for promotional purposes?
• Yes
• No
• Only if asked first

 

“Mat Pilates – South Loop Sculpt”

About this event

Cancellation policy