Fitness class professionally programed for children of all ages provided by a certified instructor.

Nike Registration

Registration and Liability

Name

First Name

Last Name

Phone

(###)

###

####

Please list any injuries or health concerns.

After submission you will be redirected to the payment page. Thank you and I look forward to our session!

There are risks associate with engaging in any physical activity. By taking part in this workout, you acknowledge those dangers and assume full responsibility for any injuries, losses or damages that may occur. By engaging in this exercise program, you agree to do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Jennifer Derago, Hello Pilates LLC and all others from any and all responsibilities or liability from injuries or damages resulting from your participation. By submitting this form you agree to these terms and conditions.