The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Consent for Services
Fitness 805 has put in place preventative measures to reduce the spread of COVID19; however, Fitness 805 cannot guarantee that you will not become infected with COVID-19. Further, utilizing Fitness 805 services could increase your risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by using Fitness 805 services and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Fitness 805 employees, Fitness 805 subcontractors, and program participants. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my participation in Fitness 805 services. I hereby release, covenant not to sue, discharge, and hold harmless Fitness 805, its employees, agents, independent contractors, members, participants and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Fitness 805, its employees, agents, members, participants, independent contractors and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Fitness 805 service.
1. Have you had a fever in the last 24 hours of 100° or above?
2. Do you now, or have you recently had, any respiratory or flu symptoms, sore throat, or shortness of breath?
3. Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has coronavirus-type symptoms?
Parent or Guardian Signature (in case of a minor):