I understand there is currently a COVID-19 (Coronavirus) pandemic. I understand that the Coronavirus has a long incubation period during which carriers of the virus may not show symptoms, may be highly contagious, and that the virus may result in death. Furthermore, I understand that even with testing, it may not be possible to tell who is actively contagious and who is not.
I understand that I am electing to return to Challenge Center and the nature of my appointment will place me in close, hands-on contact with my Physical Therapist and/or Personal Trainer or other Staff. I understand that the staff of Challenge Center have procedures in place to reduce my risk of potential exposure and that these procedures are made publically visible at Challenge Center. I also understand, however, that even with universal precautions and the best safety procedures, the potential risk of acquiring COVID-19 cannot be completely eliminated and my presence at Challenge Center increases my risk, greater than the risk I incur if I do not attend. Accordingly, I knowingly and willingly elect and consent to attend Challenge Center during the COVID-19 pandemic.
I understand that after my first appointment back to Challenge Center since the COVID-19 related closure, I will be verbally screened and have my temperature taken by the staff. For the safety of all clients, myself included, and staff, I confirm I will answer all screening questions truthfully and to the best of my knowledge. I understand and acknowledge that although I will not sign this form before each subsequent appointment following my first appointment back, my risk of exposure will remain the same and my presence for my appointment at Challenge Center will be my consent to attend and receive services. I understand that if at any time I am deemed not eligible to attend due to temperature, illness, or potential exposure to COVID-19, I will need to complete and sign this form again before my next appointment.