Village of Lewiston Recreation - Family Gym -Saturday, November 28, 2020
Village of Lewiston Recreation
Address: 145 N. 4th Street, Lewiston, NY 14092
Contact us at (716) 754-1990 or recreation@villageoflewiston.com

With some families opting for virtual education, family gym is a great way for kids to stay active! Family gym is open for families to utilize our gymnasium space to play. Please feel free to bring your own play equipment or borrow basketballs or soccer balls from us. All equipment is sanitized between usage.
• Time slots are available in 45 minute increments
• Registration is required for gym time available on the Recreation website
• If families are comfortable playing with other families, you may register more than on family for a time slot so that kids can play together
• Masks are required are all times while inside the facility

Release of Liability:
In consideration of permitting the below-named child to participate in games, practices, and other activities of the Village of Lewiston Recreation Department, I, the undersigned as parent or guardian of said minor, do hereby release and agree to hold harmless the Village of Lewiston Recreation Department and its said agents, employees, coaches and volunteers from any liability for bodily injury, personal injury or property damage which may occur to said minor on the part of said program or its agents, employees, coaches and volunteers related to this program.

Village of Lewiston Recreation Department
COVID-19 Screening Questionnaire

The following is a current list of COVID-19 symptoms that have been identified by the Center for Disease Control and Prevention (CDC):

Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore Throat
Congestion or runny nose
Nausea or vomiting
Diarrhea

If your answer is “YES” to any of the COVID questions below, please do not enter the Recreation Facility.
Has anyone that will be in attendance with your group experienced any COVID-19 related symptoms (Listed Above) in the past 48 hours? *
Within the past 14 days, has anyone that will be in attendance with your group been in close physical contact (6 feet or closer for at least 15 minutes) with a person who is known to have laboratory-confirmed COVID-19 or with anyone who has any symptoms consistent with COVID-19? *
Is anyone in attendance with your group currently isolating or quarantining because they may have been exposed to a person with COVID-19 or are worried that they may be sick with COVID-19? *
Is anyone in attendance with your group currently waiting on the results of a COVID-19 test? *
Last Name *
First Name *
Full Names of Children and Adults who will be present *
Phone Number *
Select one time slot per day *
Submit
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