About this template
Running a Pilates studio or fitness class requires keeping your participants safe while ensuring your business is fully protected. This Pilates Informed Consent Google Form Template helps instructors, studio owners, and fitness coaches collect essential client details, emergency contacts, and vital medical history before starting any physical training program.
The form gathers critical baseline information including contact details, physical measurements, wellness goals, and key health disclosures—such as prior injuries, cardiovascular conditions, pregnancy status, and allergies. By thoroughly screening participants upfront, instructors can tailor their classes safely and ensure clients fully acknowledge the inherent physical risks of strenuous exercise.
Built to streamline client onboarding, this template eliminates messy paper waivers. Fitness professionals can instantly share the form via email or a quick QR code, allowing clients to review terms, input their health history, and provide digital acknowledgment directly from their phone or computer before stepping onto the mat.
Key features
- Screen for pre-existing injuries and medical conditions instantly.
- Collect mandatory emergency contact details for every participant.
- Document clear acknowledgment of physical activity risks.
- Track client fitness goals, weight targets, and wellness objectives.
- Fully customizable for yoga, personal training, and group fitness classes.
Use cases
- New client onboarding at boutique Pilates and yoga studios.
- Participant intake for high-intensity group fitness bootcamps.
- Physical risk disclosure for one-on-one personal training sessions.
- Fitness retreat registration and health screening.
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Date of Birth (Date)Please enter your date of birth.
- Email Address (Short answer)Where can we reach you regarding your bookings?
- Phone Number (Short answer)Include area code.
- Home Address (Paragraph)Street address, city, state, and zip code.
- Emergency Contact Full Name (Short answer)Name of someone we can contact in case of an emergency.
- Emergency Contact Phone Number (Short answer)Primary phone number for your emergency contact.
- Parent/Guardian Full Name (If Participant is a Minor) (Short answer)Leave blank if you are 18 years of age or older.
- Do you have any current or past history of physical therapy or major injuries? (Paragraph)Briefly describe any chronic issues or past surgeries.
- Are you currently pregnant or postpartum? (Multiple choice)Select your current status.
- Do you have any cardiovascular, respiratory, or asthmatic conditions? (Paragraph)List any heart conditions, high blood pressure, or breathing difficulties.
- Do you have any known allergies or physical disabilities? (Paragraph)Describe any conditions that might require special accommodations during class.
- What are your primary wellness and fitness goals? (Checkboxes)Select all that apply to your practice.
- Informed Consent & Liability Waiver (Short answer)By typing your full name below, you acknowledge that you understand the physical risks of Pilates exercise, confirm that your health disclosures are accurate, and release the studio and instructors from liability.
- Date Signed (Date)Today's date.
FAQ
Why do I need an informed consent form for Pilates classes?
An informed consent form ensures that participants are fully aware of the physical demands and potential risks of exercise, while helping protect your studio by documenting that clients have disclosed their health history and agreed to safety guidelines.
Can I customize the medical questions on this template?
Yes! You can easily edit, add, or remove any questions in Google Forms to match the specific requirements of your fitness studio or insurance policy.
How do I share this form with my clients?
Once you copy the template into your Google account, simply click 'Send' to email the form link, share it on your website, or display a QR code at your front desk for clients to scan.
Is this form suitable for online Pilates classes?
Absolutely. It works seamlessly for virtual sessions, allowing you to collect completed health waivers and consent agreements remotely before allowing clients to join your video stream.
Can parents fill this out on behalf of minor participants?
Yes, the form includes dedicated fields to capture parent or guardian contact information and authorization if minors are participating in your classes.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.