Covid-19/Waiver/Info

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(PEOPLE WHO FEEL SICK SHOULD STAY HOME)

Guidelines for Individuals: • You have not been sick or know of anyone being sick. Upon entering the building you are required to be 6 feet apart and get a Temperature Check and Wash Hands. You and your child will avoid touching your face and sneeze or cough into a tissue, or the inside of your elbow and avoid sharing equipment. Face Masks Required while in facility. (Available at front additional cost) *

Agree

Parent/Guardian/Adult *

Parent(s) Name (FIRST) *

Parent Name (LAST) *

Child(s) FIRST & LAST Name (Used for Check In) or Self *

Email(s) (Separated by commas) *

Street Address *

City/State *

Zip Code *

Emergency Phone number(s) *

Sports Contact Concern "When Feasible" *

Option 1 "I acknowledge contact for my child for sports"

Option 2 "I don't want my child within 6 feet of any coach/child"

Read Waiver/Information Below *

I Read Waiver & Information Below

Waiver Details

We understand the sensitivity of today’s changing climate and our facilities have been cleaned and disinfected with a recommended CDC Solution to minimize risks of the COVID-19 Pandemic.

My child will practice 6 feet of social distancing when feasible. Information may change per week and based on state recommendations.

No one in my family is sick and I willingly don't know anyone sick. I understand that my child may be sent home if he shows symptoms of sickness. My child has washed his hands prior to entering the facility. This waiver also serves as notice there is some reasonable risk and I waive release liability of parents, instructors, Youth Basketball Academy, Hardwood Palace, Synegy Sports Association, Galilee Real Estate and Aron Schapiro.

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