Release of Liability and Health Information
Due to the 2020 outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each student. Please complete the following, read over the guidelines carefully, initial, and sign below.
Symptoms of COVID-19 include, but are not limited to:
Symptoms may appear 2-14 days after exposure to the virus.
Please read and initial the following statements:
I am in good health & not experiencing any of the above symptoms.
I have not been exposed to COVID-19 in the last 14 days.
I have NOT been outside of the State of NY in the last 14 days (prior to class date).
If yes, please explain the dates, whether you traveled by air, and any other relevant details. This may require you to wait 14 days after travel to attend in-studio yoga classes.
I have not shown any symptoms of COVID-19 in the last 14 days (prior to service).
COVID-19 IN STUDIO YOGA CLASS GUIDELINES
Your yoga instructor Hidden Haven Yoga, dba Gina DuBois Yoga, reserves the right to cancel/reschedule your yoga class if you do not adhere to the above guidelines or are exhibiting signs of COVID-19.
I hereby understand all requirements and will fully abide by all of them.
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Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Release of Liability and Health Information
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