daily health form | Remedy Athletix

Remedy Athletix Covid-19 Daily Health Form

Exposure to COVID-19 is an inherent risk in any public location where people are present; we cannot guarantee you will not be exposed during your visit to the gym. The CDC advises that some people are more likely than others to become severely ill, and some people are at a higher risk of exposure to COVID-19. Athlete's should evaluate their own risk in determining whether to participate in the Remedy Athletix program. People who show no symptoms can spread COVID-19 if they are infected, and any interaction with the general public poses an elevated risk of being exposed to COVID-19. By coming to the gym, you acknowledge and agree that you assume these inherent risks associated with attendance.

Please note: If you cannot select each question below, have tested positive for COVID-19, or have been in close contact with a positive COVID-19 person, please allow 10-14 days before you return to the gym and ensure you can provide a negative test.

Athlete's First Name

Athlete's Last Name

My athlete's body temperature is lower than 100.4°F

My athlete does not have fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea?

My athlete and my family haven’t been in close contact with a Covid-19 positive person in the last 10 days.

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!