Covid-19 Liability Release Waiver

Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), our business is taking extra precautions with the care of every client to include health history review and enhanced sanitation/disinfecting procedures in compliance with HSC guidance.
Symptoms of COVID-19 include:

Booking a class online or attending our studio requires agreement to all of the following:

  • I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.
  • I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days.
  • I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days.
  • I affirm that I, as well as all household members, have not traveled outside of the country or to any city considered to be a “hot spot” for COVID-19 infections within the past 30-days.
  • I understand that ORIGIN PILATES cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

Our business is following these enhanced procedures to prevent the spread of COVID-19:

****Outstanding  [list how your business is enhancing protection for clients amid COVID-19]

By clicking the accept button below, I agree to all statements contained herein and release ORIGIN PILATES from any liability for unintentional exposure or harm due to COVID-19.