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POLE PLACE WAIVER
PRE-STUDIO ATTENDANCE FORM

Before coming along to any of our studios, please fill out the below form and carefully read all information within it. If you are between the ages of 16-18 years of age, a parent/guardian should fill out and submit this form on your behalf.

YOUR OWN DETAILS:

YOUR EMERGENCY CONTACT DETAILS:

CURRENT HEALTH STATUS & MEDICAL HISTORY
Please make your instructor aware of any physical or psychological conditions that may affect your participation in any classes at Pole Place. If you have any medical conditions that may prevent your participation in physical activity, or if you are currently pregnant or have recently given birth, please consult your doctor prior to attending any class with us.
CANCELLATION POLICY
Pole Place operates a strict cancellation policy, whereby if you cancel or reschedule any session without at least 48 hours notice, you will be charged 100% of your session fee. Members on a membership and members with credit packs will lose their class credit for that session. This cancellation policy is in place as a consideration to all Pole Place clients and instructors.
T&Cs

- We operate a no refunds policy - no refunds are issued at any time.

- We will not teach anyone under the influence of drugs or alcohol.

- Practise sessions are unsupervised and untutored and are solely for the purpose of self practise. You should have your own insurance if you wish to practise in any of our studios to ensure you are covered in all cases.

- If you are currently pregnant or have recently given birth, you should consult your doctor prior to attending any classes with us for clearance.

- We have a zero tolerance policy against bullying of any kind, to instructors or to other clients at Pole Place and we reserve the right to refuse service.

SOCIAL MEDIA
We may share pictures or videos taken in class, or media we are tagged in, on social media for advertising purposes and to promote client progress. Please let us know if you are happy for this to be shared.
WAIVER & RELEASE
I am choosing to voluntarily participate in Pole Dance Fitness classes offered by Pole Place Limited and Pole Place Horsham Limited. I understand that Pole Dance Fitness is a strenuous physical activity. It includes the use of equipment, and potentially hazardous activities. I understand that any class and/or independent practise sessions within their studios may expose me to risks, including accidents and injuries. I understand all risks of injuries associated with my participation including falls, knocks on the pole/equipment, exercises and techniques taught by their instructors.

I acknowledge my responsibility in communicating any physical or psychological concerns that might affect my participation in these physical activities. If I have any medical conditions that may prevent my participation, I understand it is my responsibility to consult my doctor prior to attending any class.

With full understanding of the above mentioned, I agree for myself and anyone entitled to act on my behalf, to waive, release and agree not to sue Pole Place Limited or Pole Place Horsham Limited or any others acting on their behalf from all responsibility, liabilities, claims or demands of any kind, which would in any way be connected with my participation in classes and/or independent practise sessions within their studios, or from any general advice taken from their instructors or website.

Thanks for submitting!
We look forward to welcoming you along to the studio soon!

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DOWNLOAD OUR APP
'POLE PLACE HORSHAM'
TO BOOK 
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