Daily Covid-19 Declaration - SSCA Programs
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Today's Date *
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Name of  Class *
Name of Participant  Completing the Waiver *
Have you answered "no" to all of the statements on the COVID-19 Alberta health Daily checklist (for Adults Over 18)?
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IF YOU ANSWERED “YES” TO ANY OF THE CATEGORIES OF QUESTIONS ON THE CHECKLIST YOU MUST STAY HOME AND FOLLOW THE DIRECTIONS OF AHS.
WAIVER AND RELEASE
THE COVID-19 VIRUS CAN BE TRANSMITTED BY ASYMPTOMATIC PEOPLE. THE SILVER SPRINGS COMMUNITY ASSOCIATION IS FOLLOWING GOVERNMENT RULES AND REGULATIONS BUT THERE CAN BE NO ASSURANCE THAT THE VIRUS WILL NOT BE CONTRACTED AT OUR FACILITY. PLEASE UNDERSTAND THAT YOU ARE TAKING PART IN A  SILVER SPRINGS FITNESS PROGRAM AT YOUR OWN RISK.

By completing and submitted this declaration you agree to the statements within.
I have read and understand the Silver Springs Community Association’s COVID-19 rules and accept and waive any right to privileges should I not comply with these rules.* *
I hereby accept the RISK OF CONTRACTING COVID-19 by choosing to attend or use the Silver Springs Community Associations facilities and programs.* *
I hereby release the Silver Springs Community Association, its Directors, Officers and Staff from any and all claims that I have or may have in the future for: a.) Any loss or damage that I may suffer due to contracting COVID-19, including sickness or death, as a result of attending or using the Silver Springs Community Association’s programs or facilities. b.) Any requests to leave the premises as imposed by the Silver Springs Community Association resulting from the breach of my obligations under this agreement.* *
A copy of your responses will be emailed to the address you provided.
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