Covid-19 Addendum
As an Addendum to the Waiver you have previously signed with us as a member, you agree and understand the following:
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By entering this facility, you are aware that you agree to fully accept all known and unknown risks, including the potential risk of exposure to respiratory illnesses such as the coronavirus (COVID-19). The coronavirus is primarily transmitted via exhaled respiratory droplets, most often through coughing and sneezing. These droplets can travel up to six feet and are more commonly transmitted between persons rather than from equipment to persons.
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Although we regularly sanitize our equipment and presently are using enhanced cleaning methods and enforcing social distancing in our facility, you understand that you may be exposed to the coronavirus or its symptoms through no fault of our own. Known coronavirus symptoms include fever, coughing, shortness of breath, pneumonia, kidney failure, and may include other symptoms, stroke or even death (collectively "Symptoms"). You understand and agree that you will hold us harmless and you will not hold us liable for any real or perceived Symptoms of COVID-19 or any other disease, illness, or condition, nor for exacerbating any existing symptoms, and you fully agree to accept all risks of entering the facility, using the equipment, working with personal trainers, attending classes, and/or interacting or being exposed to other members.
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First Minor's Name
First Minor's Date of Birth
Second Minor's Name
Second Minor's Date of Birth
Third Minor's Name
Third Minor's Date of Birth
Fourth Minor's Name
Fourth Minor's Date of Birth
Fifth Minor's Name
Fifth Minor's Date of Birth
Sixth Minor's Name
Sixth Minor's Date of Birth
Seventh Minor's Name
Seventh Minor's Date of Birth
Eighth Minor's Name
Eighth Minor's Date of Birth
Ninth Minor's Name
Ninth Minor's Date of Birth
Tenth Minor's Name
Tenth Minor's Date of Birth
Parent or Guardian's Name
Parent or Guardian's Signature
Electronic Signature Consent
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Participant's Name
Parent or Guardian's Signature
Electronic Signature Consent
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