(312) 476-9080

Welcome to Our Studio

Please submit the form below prior to your first session.

If you prefer, you can download and print this form offline and mail or bring it to the studio.

Click Here to open the form for offline printing (PDF).

Click Here to open the COVID-19 consent form for offline printing (PDF).

I acknowledge the contagious nature of the COVID-19 virus, and respect that the facility adheres to the CDC recommendations of practicing social distancing and wearing face coverings.
I further acknowledge that Elite Integrated Pilates has put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of their abilities.
I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff and other clients.
I acknowledge that I increase my risk of exposure to COVID-19 by participating in services rendered. I acknowledge that I must comply with all set procedures to reduce the spread while in attendance.

I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of COVID-19.
* I have not been diagnosed with Coronavirus/Covid-19 by state or local public health authorities.
* I am following all CDC recommended guidelines as much as possible, including limiting any purposeful exposure to COVID-19.

I hereby release and agree to hold Elite Integrated Pilates harmless from any causes of action, claims, demands, damages, costs, expenses and compensation for damage to myself that may be caused by any act, or failure to act, or that may otherwise arise in any way with any services received. I understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received. This liability waiver and release extends to all owners, partners, and employees.
I voluntarily agree to participate in a program of progressive physical exercise at Elite Integrated Pilates. I understand that there is always the possibility of serious personal injury associated with any physical exercise program and I hereby assume full responsibility for any and all such risks. In addition, I hereby release Elite Integrated Pilates and its agents and employees from any claim for personal injury, bodily injury, or consequential damages of any nature whatsoever. I accept complete responsibility for my health and well-being in any voluntary exercise/fitness program. I agree to advise my Pilates instructors of any changes in my health status. Any time I feel discomfort or pain, I agree to stop exercising immediately and to tell my Pilates instructor. I have accurately answered these questions and will not hold Elite Integrated Pilates responsible for any injury resulting from my failure to disclose all information requested.

Elite Integrated Pilates
2058 W. Chicago Ave.
Chicago  IL 60622
(312) 476-9080

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