I acknowledge the contagious nature of the COVID-19 virus, and respect that the facility
adheres to the CDC recommendations of practicing social distancing and wearing face
I further acknowledge that Elite Integrated Pilates has put in place preventative measures to
reduce the spread of the COVID-19 virus, to the best of their abilities.
I further acknowledge that no guarantee exists regarding whether or not I may contract
COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19
virus may result from the actions, omissions, or negligence of myself and others, including, but
not limited to, staff and other clients.
I acknowledge that I increase my risk of exposure to COVID-19 by participating in services
rendered. I acknowledge that I must comply with all set procedures to reduce the spread while
I attest that:
* I am not experiencing any symptom of illness such as cough, shortness of breath, difficulty
breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell.
* I have not traveled internationally within the last 14 days.
* I have not traveled to a highly impacted area within the United States in the last 14 days.
* I do not believe I have been exposed to someone with a suspected and/or confirmed case of
* I have not been diagnosed with Coronavirus/Covid-19 by state or local public health
* I am following all CDC recommended guidelines as much as possible, including limiting any
purposeful exposure to COVID-19.
I hereby release and agree to hold Elite Integrated Pilates harmless from any causes of action,
claims, demands, damages, costs, expenses and compensation for damage to myself that may
be caused by any act, or failure to act, or that may otherwise arise in any way with any services
received. I understand that this release discharges the aforementioned from any liability with
respect to bodily injury, illness, death, medical treatment, or property damage that may arise
from, or in connection to, any services received. This liability waiver and release extends to all
owners, partners, and employees.