I understand that coronavirus causes the disease known as COVID-19. I understand 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:
- I must sanitize my hands before entering the gym studio room
- I must make all attempts to cover my mouth and nose in the event of coughing and/or sneezing and then immediately sterilse my hands
- I will minimize the touching of common surface/areas
- I understand the staff of Switch Pod-Up 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 NYC from any other State or Country, whether by car, air, sea, bus or train in the past 14 days
- I have not been identified as a contact of someone who has test positive for COVID-19 or been asked to self-isolate by any government agency.
- I am not in 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 Switch 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.