Ocala Aquatics
3001 SW College Rd
Ocala, FL 34474
Tel (352) 873-5811
COVID-19 Release Form - Swim America

 

 

COVID-19 is believed to spread mainly through person-to-person contact. Due to the frequency of visits of other swimmers and the characteristics of the Coronavirus, you may have a risk of contracting the virus simply by using the Newton A. Perry Aquatic Center. This facility has put in place preventative measures to reduce the spread of COVID-19 but cannot guarantee that you will not become infected.

Please complete the following:
* All Fields Required    

My minor child(ren) and/or I are NOT experiencing any of the following symptoms of COVID-19: Fever, Shortness of breath, Loss of sense of taste or smell, Dry Cough, Runny Nose, Sore Throat or Diarrhea/Nausea/Vomiting.

To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow Ocala Aquatics' strict safety guidelines. I also understand that the CDC, OSHA and the Department of Health recommend social distancing of at least 6 ft.

By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that while using the Newton A. Perry Aquatic Center, I may be exposed to, or infected by COVID-19 and that such exposure or infection may result in personal injury, illness, disability, or death. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury that I may experience or incur in connection with my activity at the Newton A. Perry Aquatic Center. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Ocala Aquatics, CSF Aquatics, LLC, College of Central Florida, their agents, servants, and employees, and any other interested parties from all claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.

Signature of Parent/Guardian:
Date: 8/5/2020

I, , agree to immediately inform the Swim Lesson Program Director (Sue Schwerzel) if my minor child(ren) and/or I are experiencing any of the above listed symptoms of COVID-19. I understand that my minor child(ren) and/ or I will not be allowed to return to the pool until symptom-free for 72 hours without the aid of medication.

Signature of Parent/Guardian:
Date: 8/5/2020

 

 

 
 

     

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