Adult Muay Thai Class
Muay Thai - Lunch Class Sign-up
Muay Thai - Evening Class Sign-up
Belt Level (if applicable)
Waiver - All boxes must be checked
I acknowledge the contagious nature of the Coronavirus/COVID19 and that the Ministry of Health are still recommending the practice of social distancing. I further acknowledge that Centre Evolution has put in place preventative measures to reduce the spread of the Coronavirus/COVID19.
I further acknowledge that Centre Evolution cannot guarantee that I will not become infected with the Coronavirus/COVID19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, other clients and their families.
I voluntarily seek to resume training at Centre Evolution and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID19. I acknowledge that I must comply with all set procedures to reduce the spread while attending classes.
I attest that: * 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 travelled 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 Coronavirus/COVID19. * I have not been diagnosed with Coronavirus/COVID19 and not yet cleared as non contagious by our Ministry of Health. * I am following all Ministry of Health recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID19.
I hereby release and agree to hold Centre Evolution 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 academy, or that may otherwise arise in any way in connection with any services received from Centre Evolution.
I understand that this release discharges Centre Evolution from any liability or claim that I, my heirs, or any personal representatives may have against the academy 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 Centre Evolution. This liability waiver and release extends to the academy together with all owners, partners, and employees.
Name of Child (for Kid/Parent BJJ group only)
Name of 2nd person (for Couples BJJ group only)
Adult and Kids BJJ Class
Lunch - Sign-up
Adult BJJ - Sign-up
Kid/Parent - Sign-up
Adult/Youth 14+ Boxing Class
Boxing - Sign-up
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