Howard Hall Association Covid-19 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 CDC guidance.

Symptoms of COVID-19 INCLUDE:

    • Fever
    • Fatigue
    • Dry Cough
    • Difficulty Breathing

I agree to 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 last 30 days.
  • I affirm that I, as well as all households 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 infection within the past 30-days.
  • Limit attendance to 75 people.

By signing below, I agree to each statement above and release Howard Hall from any and all liability for unintential exposure or harm due to COVID-19.

 

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Signature

For a PDF printable copy click here.