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COVID-19 Consent Form


I,___________________________, knowingly and willingly consent to practice yoga at Rooted Yoga during the COVID-19 pandemic. 


I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be contagious. It is difficult to determine who has it and who does not, given the limits in virus testing. 


I understand that due to the frequency of visits of the other clients and the characteristics of the virus, I have an elevated risk of contracting the virus simply by being in the yoga studio. 


I confirm that I am not presenting any of the following symptoms:

  • Temperature above 100.4 degrees F. (self check prior to arrival)

  • Shortness of breath

  • Loss of sense of taste or smell

  • Dry cough

  • Sore throat

  • I have personal protective equipment 


I confirm that if I present symptoms I can be denied service, and will not be charged for the visit. 


I confirm that I have not been around anyone with symptoms in the past 14 days.


To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the studio’s strict guidelines. 


I understand the limited use of the studio’s restroom, shower, and common area. 



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