St. George’s Golf & Country Club Member COVID-19 Agreement & Assumption of Risk Form
The Assumption of Risk Form has changed and all members/visitors (Golf, Clubhouse, Dining Guests) are required to complete this form before visiting the Club.

This form must be completed prior to visiting St. George’s Golf & Country Club (the “Club”). Failure to do so prior will result in denial of access to the Club. The agreements in this form will remain in effect until the Board of Directors of Club declares the requirements in this form are no longer in effect.
Date *
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First Name *
Last Name *
Are you a member or a guest?
Clear selection
Member Number
If you are submitting this Agreement and Assumption of Risk Form on behalf of a member of your household who is under the age of 18 years please provide their name below.
As you are all aware, COVID-19 is a serious public health issue and a serious disease that can cause significant illness, including death. The coronavirus which causes COVID-19 can be transmitted by asymptomatic people and accordingly the agreements made by members and guests visiting the Club contained in this form cannot provide certainty that the virus will not be transmitted. Further, while the Club is taking steps to impose and enforce protocols to mitigate against the transmission of the virus, there can be no assurance that the virus won’t be contracted by members or guests who attend the Club. This is a risk that each member and guest must assess themselves, and if they choose to visit the Club, to take the risk of either contracting the virus or transmitting it to others. By choosing to visit the Club, I acknowledge and accept that I am at risk of contracting the virus and/or transmitting it to others and I voluntarily accept that risk. *
I agree that I will not visit the Club for a period of 14 days after I or a member of my household has been in Close Contact with someone who I am aware or become aware is under medical investigation, supervision, treatment, isolation or quarantine related to COVID-19 and has not been cleared by medical personnel to be in public. *Note: “Close Contact" used throughout this Form includes living with, providing care, or otherwise having close prolonged contact (within 2 meters) with another person but excludes Frontline Healthcare workers who have used appropriate Full Medical PPE while in Close Contact. *
I agree that I will not visit the Club if I am not feeling well or I, or anyone with whom I have been in Close Contact , has experienced any cold or flu-like symptoms (to include: fever; chills; cough; shortness of breath or difficulty breathing; sore throat; difficulty swallowing; runny, stuffy or congested nose not related to seasonal allergies or other known causes or conditions; loss of sense of taste or smell; conjunctivitis (pink eye); headache that is unusual or long lasting; digestive issues like nausea/vomiting, diarrhea and stomach pain; fatigue or other COVID -19 symptoms as identified by Health Canada or Public Health Ontario) in the 14 days prior to my attendance. *
I agree that I will not visit the Club if I or anyone with whom I have been in Close Contact has traveled on an airplane or traveled to or had a lay-over in any country outside Canada in the 14 days prior to my attendance. *
If, within 14 days of my attendance at the Club, I or anyone with whom I have been in Close Contact test positive for COVID-19, OR, I or anyone with whom I have been in Close Contact develop symptoms which later results in me or someone with whom I have been in Close Contact being under medical investigation, supervision, treatment, isolation or quarantine related to COVID-19, I will immediately notify Jason Clarke, Club COO or Alan Palmer, Head Golf Professional to allow the Club to take appropriate precautions. *
Golf Members Only: I have read, understand and will comply the Club’s COVID-19 Rules and Golf Protocols issued since May 14, 2020, and all updates since then, or as they may be further updated from time to time and accept that I waive any rights to visit the Club should I not comply with these rules or protocols. *
All Members and Dining Guests: I have read, understand and will comply with the Club’s COVID-19 Rules and Dining Protocols issued June 23, 2020, or as may be updated from time to time and accept that I waive any right to visit the Club should I not comply with these rules or protocols. *
Issued: June 25, 2020
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