top of page

COVID LIABILITY RELEASE FORM

For the health and safety of everyone, please read carefully and answer honestly.

Screenshot 2020-08-11 at 21.45.00.png

I hereby acknowledge the above symptoms and confirm that I, as well as all members of my household, have not experienced any listed symptoms within the last 14 days.

I confirm that I, as well as all members of my household, have not been diagnosed with COVID-19 within the last 30 days.

I confirm that I, as well as all members of my household, have not been knowingly exposed to anyone diagnosed with COVID-19 in the last 30 days.

Thanks for submitting!

bottom of page