Covid Form
COVID
Email address *
Name *
Phone *
Have you knowingly been in close contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19? *
Have you tested positive for COVID-19 through a diagnostic test in the past 14 days? *
Have you experienced any symptoms of COVID-19 in the past 14 days? *
Have you traveled within a state with significant community spread of COVID-19 for longer than 24 hours within the past 14 days? *
By entering the facility you understand and agree with the updated Covid waiver and by initialing release 212 Pilates of liability in relation to COVID 19. *
Submit
Never submit passwords through Google Forms.
This form was created inside of 212 pilates. Report Abuse