Take the Pledge
Sign in to Google to save your progress. Learn more
Email *
Name *
Job Title *
Organization Name *
# of Locations *
"We will comply with the Business Reopening rules of my city/town/village and State of Louisiana to help minimize the transmission of COVID-19. We will post appropriate Signage reminding members, customer, and employees about best practices and will use our reasonable best efforts to enforce the rules. We aspire to be role models showing other businesses how to implement the appropriate measures recommended by the city and stat to prevent the spread of COVID-19." *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Cross Gates Family Fitness. Report Abuse