COVID-19 Liability Waiver

Date *

Date

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Email *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Reason for visiting? *

I Attest That *

I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. I have not traveled internationally within the last 14 days. I have not traveled to a highly impacted area within the United States of America in the last 14 days. I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19. I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities. I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19. I will notify The Warehouse Gym & Fitness ASAP if I was exposed to COVID19 or in close contact with someone with COVID19 and not return to gym until cleared by my doctor. I AGREE TO NOT LET ANYONE INTO THE GYM WITHOUT PERMISSION FROM GYM OWNER. I will wear a face mask while I workout.

Please take your temperature before you come to the gym.

1. Wash your hands or sanitize them before you start session or workout. Wipe down everything you touch.

2. Please Bring a Towel and mask to cover face so if you were to cough or sneeze. Do not wipe equipment with your towel. Use cleaning supplies we provide.

3. Bring your own water and water bottle bottle.

4. Please do not arrive early and wait around inside of gym. Limit your time at the gym and practice social distancing.

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that The Warehouse Gym & Fitness LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that The Warehouse Gym & Fitness LLC can not guarantee that I will not become infected with the Coronavirus/Covid-19.

I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, gym staff, and other gym clients, members and their families.

I voluntarily seek services provided by The Warehouse Gym & Fitness LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.

I hereby release and agree to hold The Warehouse Gym & Fitness LLC 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 the gym, or that may otherwise arise in any way in connection with any services received from The Warehouse Gym & Fitness LLC. I understand that this release discharges The Warehouse Gym & Fitness LLC from any liability or claim that I, my heirs, or any personal representatives may have against the gym 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 The Warehouse Gym & Fitness LLC. This liability waiver and release extends to the gym together with all owners, partners, and employees. We do have 24 HR Surveillance recording at all times.

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