COVID-19 Pro Fit Boot Camp Consent Form – Please print and fill out, bring to first class, give to Trainer.
Member’s name (please print): _______________________________________________________________
- Yes ___ No ___ Do you currently have a fever, chills, a new cough, a worsening chronic cough,
shortness of breath or difficulty breathing?
- Yes ___ No ___ Have you or a member of your household travelled outside of Canada in the past
14 days?
- Yes ___ No ___ Do you have a confirmed case of COVID-19 or have a member of your household
with a confirmed case of COVID-19?
- Yes ___ No ___ Do you or have you had 2 or more of the following symptoms in the past 14 days: sore throat, runny nose/sneezing, nasal congestion, hoarse voice, difficulty
swallowing, decreased or loss of smell and/or taste, chills, fever, diarrhea,
abdominal pain, or fatigue/malaise?
* If you answered yes to any of the above questions please self-isolate and reschedule your class. *
I acknowledge and confirm, to the best of my ability, that the above information is true.
Signed: ______________________________________ Date: ___________________________________
I understand that while Pro Fit Boot Camp has taken measures to minimize the risk of viral transmission, the nature of exercising in at Pro Fit Boot Camp means that physical distancing will be practiced as best as possible in the gym and that the risk cannot be reduced to zero. I understand that by exercising at Pro Fit Boot Camp there is the possibility of contracting a viral illness such as COVD-19.
I acknowledge that I have been offered the choice to bring personal protective equipment (PPE) such as a face mask to wear during my class.
Despite there being risk of contracting a viral illness by exercising at Pro Fit Boot Camp, I consent to coming to Pro Fit Boot Camp. By signing this consent form I release the owners of Pro Fit Boot Camp, from any and all liability should I contract or be exposed to COVID-19 at Pro Fit Boot Camp.
Member’s Signature: Date:
