TKO Covid-19 Member Screening

Please note that this form must be on file at Troy Kickboxing Outfit before you will be allowed to take a class. Thank you so much for your support in adhering to Covid-19 CDC guidelines. This waiver will serve as your ongoing agreement to be in compliance with the checklist before attending any classes. If your health or circumstances change, please abstain from classes and contact us.

I agree to the following:

To wash my hands with soap and water, and/or use appropriate hand sanitizer before entering the building, or I will use the hand sanitizer provided upon entering the building.
To wear a mask, bandana or neck gaiter prior to entering the building and continue to wear it until I leave the premises.
To use the “6-ft Social Distancing Rule” during all sessions in order to prevent possible spread.
I understand that my temperature will be taken upon entering the building prior to each class that I take.
I will not schedule or attend any classes if I (or anyone in my household) had the following symptoms at least 24 hours prior to scheduling or attending a kickboxing class: A. Fever over 100.4; B. Shortness of breath; C. Coughing
I will not schedule or attend any classes if myself or anyone in my family worked in close proximity with or on someone with confirmed Covid-19 in the last 14 days without proper PPE.
I will not schedule or attend any classes for 14 days after any out of the country travel

Thank you for your submission.