Grupo Capoeira Brasil Chicago (GCB Chicago) Community Health Agreement

Thank you for choosing to be a part of our community. Whether you choose to train with us in-person or virtually, we remain committed to providing a safe space for your health--this includes physical health, mental health, and emotional health.

We acknowledge that some of these expectations may be difficult and unfamiliar, but we know that everyone in our group cares about each other. It will take all of us working together to keep our community safe. If we all agree on the points laid out in this document, we are confident that we can keep our group engaged while preventing the spread of COVID-19.
Sign in to Google to save your progress. Learn more
In signing this agreement, I acknowledge that as a valued member of Grupo Capoeira Brasil Chicago, I play an essential role in helping to keep our community safe. I understand that the public health measures that are being asked of me are essential to limit the spread of COVID-19 and to protect fellow community members. I agree to abide by all federal, state, local, and GCB Chicago policies and expectations related to COVID-19. *
Required
I agree to monitor myself for symptoms of COVID-19 including, but not limited to, fever or chills, shortness of breath, body aches, and cough. If I am experiencing any of these symptoms, or if I have been around someone who has contracted COVID-19, I will stay home. I understand that if I test positive for COVID-19, or have been around others who have tested positive, I may be asked to self-quarantine for a period of 14 days. I agree to inform my instructors about my symptoms and test results if I have trained within the past 14 days. *
Required
I agree to wear masks at all times during class. I will only remove my mask when drinking during water breaks, while maintaining six feet of distance from others. If my instructor finds that my mask does not meet the safety criteria for training, I may be asked to change into a different one provided by the instructor. For more information regarding masks: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/about-face-coverings.html *
Required
I agree to maintain at least a 6-foot distance from others whenever possible. *
Required
I agree to wash my hands regularly – especially after coughing, blowing my nose, sneezing or being in a public place – with soap and water for at least 20 seconds. I will use hand sanitizer in between regular handwashing. *
Required
While we understand that many members of our community have work and family obligations that require them to leave their homes on a regular basis, we ask that all our members highly consider restricting their non-essential travel during the pandemic. *
Required
For the safety of our community and the community at large, we ask that you avoid hosting, organizing, or attending  events where physical distancing and mask wearing is not possible or where people are not complying with these precautions, and where I may risk my safety and that of others. *
Required
I recognize that public health recommendations and group expectations may change as we continue to learn more about COVID-19 and monitor its spread. Accordingly, I will check my email regularly to learn about any changes in GCB Chicago’s policies regarding minimizing the spread of COVID-19. *
Required
I agree to find support from others if I am concerned about my mental health. http://chicagoconnects.org/index.shtml *
Required
I agree to help others who are learning to adjust to this situation. In the spirit of helping others adjust to the new norms, I will respectfully use gentle reminders if I see that an individual, student or instructor, forgets the new rules. *
Required
Please type your full name below. This constitutes your electronic signature acknowledging that you have read and understood the GCB Chicago Community Agreement to the best of your abilities. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy