COVID-19 RELEASE FORM | Limitless Training

By checking the boxes below, I acknowledge: *

the contagious nature of COVID-19 and that the Center for Disease Control (CDC) and other public health authorities still recommend practicing social distancing.

that Limitless Training can not guarantee that I will not become infected with COVID-19.

that the risk of becoming exposed to and/or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, other clients and their families.

that I voluntarily seek services provided by Limitless Training and that I am increasing my risk to exposure to COVID-19.

that I must comply with all set procedures to reduce the spread while attending my appointment

By checking the boxes below, I attest: *

I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.

I have not traveled internationally within the last 14 days.

I do not believe I have been exposed to someone with a suspected and/or confirmed case of the COVID-19.

I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.

I am following all CDC recommended guidelines as much as possible and limiting my exposure to COVID-19.

I hereby release and agree to hold Limitless Training harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the company, or that may otherwise arise in any way in connection with any services received from Limitless Training. I understand that this release discharges Limitless Training from any liability or claim that I, my heirs, or any personal representatives may have against the company with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Limitless Training. This liability waiver and release extends to the company together with the owner and all employees.

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