Daily Covid-19 Assessment Questionnaire

All individuals, including staff, must submit a Daily Self Assessment Questionnaire prior to entering the gym. Entry will be denied to any individual/family who has not submitted a Daily Self Assessment Questionnaire.  If you cannot affirm the statements in the questionnaire, stay home, self-isolate immediately and contact Ottawa Public Health and/or Telehealth.

Release Of Liability

I understand that it is my responsibility to supervise my child(ren) during participation in My Gym LIVE classes, My Gym On-Demand video content, My Gym Summer Camp  Activities and Trips and any other content made available by MY GYM (collectively, “MY GYM Activities”).

In addition, when my child(ren) participate in in-gym activities, in case of an emergency when I cannot be reached, I authorize the staff of MY GYM to obtain whatever medical treatment deemed necessary for the welfare of my child(ren). 

I realize that personal contact with others, including but not limited to My Gym employees and participants, involves a certain degree of risk of exposure to disease-causing organisms such as COVID-19. I acknowledge that My Gym cannot screen and/or monitor all such individuals. I also recognize that all adults entering the facility, including myself, have agreed to the My Gym Illness Policy and have self-screened themselves and their children for COVID-19 at home.

I further understand and agree that I will be financially responsible for all costs incurred to treat any injuries that may occur during these activities, online or in-gym, regardless of whether my medical insurance would cover such charges and fees. I hereby give my consent to my child(ren)’s participation in MY GYM Activities and hold MY GYM harmless from any and all liability for any injuries or damages that my child(ren) or I may suffer in connection with MY GYM Activities. 

Social Media Notice for In-Gym Activities Only: I understand that MY GYM may take photos or videos of children and/or adults in the gym. I hereby give MY GYM, and MY GYM ENTERPRISES, permission for the copyright and use of these photos or videos on MY GYM'S social media websites.

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Daily Assessment Questionnaire