Forever Fit COVID-19 Consent Form
Please answer the questions below.
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Name:
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Your answer
Phone Number and Email (Required for non-members):
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Your answer
Today's Date
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No
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Have you had a positive COVID-19 test in the past 14 days?
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Yes
No
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Within the past 14 days, have you or anyone in your home had a fever over 100.4 ℉?
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Yes
No
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Within the past 14 days, have you come into contact with anyone who has tested positive for COVID-19?
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Yes
No
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Within the past 14 days, has a health or medical professional told you to self-monitor, self-isolate or self-quarantine because of concerns about COVID-19 infection?
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Yes
No
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Within the past 14 days, have you or anyone in your home traveled to another state or country that NYS requires a 14 day quarantine?
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Yes
No
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By signing below, I affirm that I have answered these questions truthfully to my knowledge, I understand the risks, and I will follow Forever Fit’s guidelines to a safe workout.
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