To the best of my knowledge, the above information is true and by signing here, I been informed of the physician's approval prior to beginning this fitness program. I acknowledge that I voluntary chosen to participate in a program of progressive physical exercise, which can enhance musculosckelatal and cardiorespiratory system. I being informed of the possible strenuous nature of the program and the potential for unusual, but possible physiological results including, but not limited to: brussing, abnormal blood pressure, falling, dizziness, out of breath, fainting and even heart attack or death. By signing here, I assume ALL risk for my health and well- being and hold harmless of ANY responsability to: Judith Villela and/or InnerPower Pilates Studio or any instructor, this facility or any person involved with this program and testing procedures.

I understand that questions about exercise procedures and recommendations and encouraged and welcomed.

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