Covid-19 Release of Liability


THIS IS A RELEASE OF LIABILITY - READ CAREFULLY AND COMPLETELY BEFORE SIGNING.

CORONAVIRUS/COVID-19 ACTIVITY PARTICIPATION ASSUMPTION OF RISK, RELEASE, WAIVER, AND DISCHARGE

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID19 is contagious and is believed to spread mainly from person-to-person contact. Maxed Out Fitness has put in place preventative measures recommended by the Center for Disease Control (CDC) and state and local public health officials to reduce the spread of COVID-19, however, Maxed Out Fitness cannot guarantee that you, your child(ren), your spouse, or anyone else will not become exposed to or infected with COVID-19 as a result of participating in a training program, event, or activity. Participation in a Maxed Out Fitness program, event or activity could increase the risk of contracting COVID-19.

I voluntarily seek services provided by Maxed Out Fitness and acknowledge that I may be 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 training session(s), event, or activity.

I attest:

  • I am not experiencing any symptoms 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.
  • In the last 10 days, I have not been diagnosed with COVID-19 or had a test confirming I have the virus.
  • In the past 14 days, I have not had “Close Contact” with someone who was diagnosed with COVID-19 or had a test confirming they have the virus while they were contagious.
  • In the past 24 hours, including today, I have not had one or more COVID-19 symptoms that are new or not explained by another condition.
  • I agree to immediately notify the ownership of Maxed Out Fitness should any of the above conditions change and I will not attend any sessions or classes until I have been properly cleared by state or local public health officials.

NOW, THEREFORE, in consideration of being permitted to participate in training, events, and/or activities offered by Maxed Out Fitness, I understand, acknowledge and agree to the following:

I have independently evaluated and reviewed the risks of being exposed to or infected with COVID-19 and have determined to participate a Maxed Out Fitness training, events, and/or activities with full knowledge and acceptance of the potential risk. Fully understanding these risks, I, for myself, my child(ren), my spouse, my legal representatives, heirs, and assigns, hereby agree to assume full responsibility and liability for the risk of bodily injury, illness, permanent disability, and/or death which may result from exposure to or infection with COVID19 before, during, or after participating in a Maxed Out Fitness training, event, or activity. 

I, for myself, my child(ren), my spouse, my legal representatives, heirs and assigns, hereby waive, release, and discharge Maxed Out Fitness, its officials, employees, volunteers, attorneys, and agents from any and all liability to me, my child(ren), my spouse, my legal representatives, heirs, and assigns, for any and all losses or damages resulting from bodily injury, illness, permanent disability, and/or death, whether caused by negligence of Maxed Out Fitness or its officials, employees, volunteers, attorneys, and agents or otherwise, which claims, losses, and demands arise during or result directly or indirectly from exposure to or infection with COVID-19 before, during, or after participating in a Maxed Out Fitness training, event, or activity.

I acknowledge in the event that Federal, State, or local health officials issue a mandatory “Stay at Home” order, or mandate the closure of programs and/or facilities, memberships will be put in abeyance in lieu of a refund until the facility reopens. I also acknowledge this waiver remains in perpetuity from the date signed and it is my responsibility to notify Maxed Out Fitness when/if I have a change in my COVID-19 health status and PRIOR to participating in a training program, event, or activity.

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: Covid-19 Release of Liability
lock iconUnique Document ID: 77e082e89cc2b2309fd720f2d7b26ab7e92b3362
Timestamp Audit
February 27, 2021 11:09 am ESTCovid-19 Release of Liability Uploaded by Ashley Hesgard - test@fluid-brands.com IP 97.100.29.80