Saratoga Health & Wellness Re Entry Agreement

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On March 16, 2020 Saratoga Health and Wellness (SHW) was required under executive order by New York State to close down because of the novel coronavirus. In an effort to re-open safely, and in phases as outlined by the governor of New York State we are requiring our members to acknowledge and agree to our terms of re-entry to Saratoga Health and Wellness.

We all play a role in being personally responsible in helping our community reduce the spread and devastating impact of COVID-19.

In returning to my exercise, training or therapeutic exercise program at Saratoga Health and Wellness, I hereby acknowledge and agree to each of the following terms of re-entry. I understand that I will complete this form once but that I will remain responsible for abiding by these terms each and every time I utilize Saratoga Health and Wellness Services until such time that the COVID-19 restrictions have been lifted or eliminated. I understand that I must agree to each of the items in order to be allowed re-entry to Saratoga Health and Wellness per New York State guidelines.

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I have not 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 *

This statement is TRUE

必填

I have NOT tested positive for COVID-19 through a diagnostic test in the past 14 days *

This statement is TRUE

必填

I have NOT experienced any symptoms of COVID-19 in the past 14 days *

This statement is TRUE

必填

I have NOT traveled within a state with significant community spread of COVID-19 for longer than 24 hours within the past 14 days. *

This statement is TRUE

必填

If I test positive or come in close contact with someone diagnosed with COVID 19, I understand that I have an obligation to alert the staff at Saratoga Health and Wellness for their timely reporting to the necessary state contact tracing agency *

I agree and affirm

必填

I understand that I am responsible for sanitizing any/all exercise equipment that I may use at SHW with the sanitizer provided at the facility and wiping it down BEFORE and AFTER my use of it *

I agree and affirm

必填

I agree to abide by 6 foot social distancing rules while in SHW *

I agree and affirm

必填

I agree to regular hand washing, and at a minimum of once when I arrive at SHW *

I agree and affirm

必填

When using strength training equipment I understand that I am NOT to use a piece of equipment directly NEXT TO or LESS THAN 6 FEET from another patron *

I agree and affirm

必填

I understand that by affirming each of the above statements that I will be allowed re-entry to Saratoga Health and Wellness. I understand that I must wear a mask at all times while in the facility. I also understand that there are occupancy restrictions and that I MAY be asked to wait OUTSIDE IF the facility has more than 60 occupants (which is very unlikely) Please type your name below - This constitutes a SIGNED and COMPLETED RE-ENTRY AGREEMENT. *

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