Adult Indemnity Form

This is our Indemnity for Sultry Studios for DROP IN CLASSES / PARTIES. If you would prefer to register for bundles or contracts, please use our Adult Registration Form

"*" indicates required fields

Email*

First Name*

Last Name*

ID Number*

Passport Number if not an SA citizen

Contact Number*

Session Type*

Public Group Class

Please view the full schedule here: https://sultrystudios.co.za/group-classes/#adultschedule

Class Type*

Pole Fitness*

Aerial Hoops (Lyra)*

Aerial Silks*

Sensual Dance*

Exotic Pole Dance*

SESSION Date*

Private Class / Party Attendance

Date of class*

Time of class*

Book me a private class please

Details of class*

Please give us your details of type of private session you'd like. How many people. Dates and times you are available. As much information as you can give us so we can assist you best! We will get back to you via email or WhatsApp.

Medical and Indemnity

Do you have any pre existing medical conditions which may worsen or may cause injury / death from any form of exercise. If yes, you agree that regardless of your condition, you do have your doctors consent to partake in classes.*

Please list medical or other conditions here*

Terms & Conditions - Indemnity Waiver

1. I understand that participation in classes does involve risk. I warrant that I am physically and medically fit to attend classes and that I waive any claim against Sultry Studio’s, its members, employees and or students in relation to any loss, damage or bodily harm arising from my participation in classes or my attendance on the premises of Sultry Studios.

2. Should I at any time feel dizzy or ill, I will advise the instructor and to refrain from further participation in the classes until I feel well enough and obtain my doctors advice.

3. I further warrant that I shall not have any claim against Sultry Studio’s, its members, it’s employees and or students in respect of any loss, damage, harm or death sustained as a result of any reason including negligence in respect of my person or property while in on the premises.

4. Due to the competitive nature of the sport, as well as for your my safety, I adhere to Sultry Studios' Anti-Doping and Drug Free policies, which includes my permission for random drug testing. R.O.A.R

5. I hereby release and agree to hold Sultry Studios cc harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage, or loss to myself and/or property that may be caused by any act, or failure to act of Sultry Studios, or that may otherwise arise in any way in connection with any services received from Sultry Studios cc. I understand that this release discharges Sultry Studios cc from any liability or claim that I, my heirs, or any personal representatives may have against Sultry Studios with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Sultry Studios cc. This liability waiver and release extends to Sultry Studios together with all owners, partners, and employees.

6. In line with the POPI act, I give consent to my personal information required by Sultry Studios for indemnity purposes. This information is for the purpose of a legal disclaimer and correspondence.

7. This indemnifies Sultry Studios from date of submission of this form for all future attendances.

Signed At (Place)*

Date*

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