
Health & Safety Waiver
for Private Lessons with Bryony
By participating in private lessons with Bryony, you acknowledge and agree to the following terms and conditions:
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1. Health and Physical Condition
I confirm that I am in good health, and I am not aware of any physical condition or limitation that would prevent me from safely participating in pole dance classes.
I acknowledge that I am responsible for consulting with a physician before participating if I have any concerns about my physical condition or medical history.
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2. Physical Limitations and Injuries
I agree to inform my instructor of any existing injuries, medical conditions, or physical limitations that may affect my participation in pole dance lessons.
I understand that pole dancing may cause soreness, bruising, or injury, and I assume full responsibility for my own physical condition and participation in the lessons.
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3. Risk of Injury
I acknowledge that pole dancing, like any physical activity, carries inherent risks of injury, including but not limited to sprains, strains, bruising, fractures, or more serious injuries.
I accept these risks and agree to hold harmless, Bryony and affiliates from any liability for personal injury, property damage, or other related incidents that may occur during or after my participation in private pole dance lessons.
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4. Release of Liability
By signing this waiver, I release Bryony from any and all liability for injuries, losses, or damages that may occur during the private lessons, including those resulting from my own actions, negligence, or the actions of others.
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5. Informed Consent
I understand the nature of pole dance as a physical activity and am voluntarily participating in private lessons. I acknowledge that my participation is not mandatory and that I may discontinue the activity at any time if I feel uncomfortable or unsafe.
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6. Medical Emergency
In the event of a medical emergency, I give permission for the instructor or staff to seek medical assistance for me, if necessary. I agree to cover any associated costs for emergency care or medical treatment.
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7. Consent for Use of Image or Video
I consent to the use of photographs or video recordings taken during my private lessons for promotional, educational, or other purposes by Bryony. I understand that I can request not to be photographed or filmed if I do not wish to appear in any promotional material.
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8. Cancellation Policy
I understand that if I need to cancel or reschedule a private lesson, I must provide at least 48 hours’ notice. Failure to do so may result in a cancellation fee or forfeit of the lesson fee.
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By signing below, I acknowledge that I have read, understand, and voluntarily agree to the terms of this Health & Safety Waiver for pole dance private lessons.