Welcome to Tone Pilates & Barre (under constructions)
COVID-19 WAIVER AND RELEASE AND ASSUMPTION OF RISK AGREEMENT. The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Tone Pilates & Barre (the "Organization") adheres to comply.
Date: __________________________________________
Name: _______________________________________________________________________________
Email: _______________________________________________________________________________
Phone __________________________________________
IN CONSIDERATION OF MY PARTICIPATION IN THE FOREGOING, THE UNDERSIGNED ACKNOWLEDGE AND AGREE TO THE FOLLOWING:
I
am aware of the existence of the risk on my physical appearance to the venue
and my participation to the activity of the Organization that may cause injury
or illness such as, but not limited to influenza, MRSA, or COVID-19 that may
lead to paralysis or death.
I
have not experienced symptoms that of fever, fatigue, difficulty in breathing,
dry cough, headache, muscle or body aches, sore throat, Congestion or runny
nose, nausea or vomiting, diarrhea, or exhibiting any other symptoms related to
COVID-19 or any communicable disease within the last 14 days.
I
have not, nor any member(s) of my family household have traveled by sea or by
air, internationally within the past 30 days.
I
did not, nor any member(s) of my household , visit any area within the United
States that was reported to be highly affected by COVID-19, in the last 30
days.
I
have not been, nor any member(s) of my household, diagnosed to be infected of
COVID-19 virus within the last 30 days.
FOLLOWING THE PRONOUNCEMENT ABOVE I HEREBY DECLARE THE FOLLOWING:
With
full knowledge of the risk involved, I hereby release, wave, discharge the
Organization, its board, officers, independent contractors, affiliates,
employees, representative, successors, and assigns from and all liabilities,
claims, demands, actions, and causes of action whatsoever, directly or
indirectly arising out of or related to any loss, damage, injury, or death,
that may be sustained by e related to COVID-19 while participating in any
activity while in, on, or around the premises or while using the facilities
that may lead to unintentional exposure or harm due to COVID-19.
I
am fully and personally responsible for my own safety and actions while and
during may participation and I recognize that I may be in any case be at risk
of contracting COVID-19.
I
agree to indemnify, defend, and hold harmless the Organization from and against
any and all costs, expenses, damages, lawsuits, and/or liabilities or claims
arising whether directly or indirectly from or related to any to any and all
claims made by or against any of the released party due to injury, loss, or
death from or related to COVID-19.
User Agreement
I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing/agreeing with this document as my own free act and deed; That I give my voluntary consent in signing/agreeing with this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation,This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.