I understand that the novel coronavirus causes the disease known as COVID-19. I understand the novel coronavirus has a long incubation period during which the carriers of the virus may not show the symptoms and may still be contagious.
I understand that :
- The physical distancing of 1.5 meters will be maintained at the Park.
- I must sanitize my hands before entering the Park.
- I must make all attempts to cover my mouth and nose in the event of coughing and/or sneezing and then immediately sterilize my hands.
- I will minimize the touching of common surface/areas.
- I may be unable to proceed with services at Pune Pet Park if they are deemed unsafe to myself or a staff member.
- I understand the staff of Pune Pet Park will do everything possible to minimize the spread of COVID-19, but will not hold them responsible should I contract COVID-19.
I confirm that:
- I am not currently positive for COVID-19
- I am not waiting for the results of a laboratory test for COVID-19
- I have not returned to Pune from any other State or Country, whether by car, air, sea, bus, or train in the past 14 days.
- I do not reside in an area declared as Containment Zone.
- I have not been identified as a contact of someone who has tested positive for COVID-19 or been asked to self-isolate by any government agency.
- I am not in a high-risk category for increased illness or death from COVID-19, including diabetes, cardiovascular disease, hypertension, lung disease including moderate to severe asthma, being immunocompromised (including transplant recipient), having active malignancy or over the age of 65.
- I am NOT presenting with any of the following symptoms of COVID-19:
| - Fever > 38C, or 100F, chills or body aches |
| - Cough |
| - Sore Throat |
| - Shortness of breath / Difficulty breathing |
| - Flu-like symptoms |
| - Runny Nose |
| - Loss of smell or taste |
I will immediately notify Pune Pet Park if I contract the virus within two weeks following my visit.
By signing below, I verify that the information I have provided on this form is truthful and accurate and I may be prosecuted by law by the relevant authorities for giving false information.