If you did not check all 5 boxes, please go home and self isolate immediately. Contact your
health care provider or the COVID-19 info line at 1-888-364-3065. A pubic health professional
will give you detailed instructions to follow to protect you, your family, and the public.
By signing this waiver, I acknowledge the contagious nature of COVID-19 and that the CDC and
other health authorities recommend practicing social distancing. I further acknowledge that KC’s Fitness, Inc. has put in place preventive measures to reduce the spread of COVID-19 and that
KC’s Fitness cannot guarantee that I will not become infected with COVID-19.
I understand that this waiver discharges KC’s Fitness, Inc from any liability claim that I, my
heirs, or any personal representatives may have, 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 KC’s Fitness, Inc.