ALLISON KALSCHED
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Sign In
My Account
Bootcamp
1:1 Training
AK +
AK+ Membership Login
AK+ Accelerate Interest List
Learn More
Merchandise
Blog
Not Your Mother's Menopause NJ
Contact
ALLISON KALSCHED
Fitness. Strength. Happiness. Personal Trainer. Personal Trainer.
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I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Allison Kalsched and Meemur LLC has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Allison Kalsched and Meemur LLC can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Allison Kalsched and her clients and their families. I voluntarily seek services provided by Allison Kalsched and Meemur LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
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Please enter your name here as an electronic signature to confirm your agreement with the statement above.
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, unexplained muscle pain, headache, sore throat, or new loss of taste or smell.
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I attest I have not traveled internationally within the last 14 days.
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No
I attest I have not traveled to a highly impacted area within the United States of America in the last 14 days.
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Yes
No
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
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True
False
I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
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True
False
I hereby release and agree to hold Allison Kalsched and Meemur LLC 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 Allison Kalsched or Meemur LLC, or that may otherwise arise in any way in connection with any services received from Allison Kalsched and/or Meemur LLC. I understand that this release discharges Allison Kalsched and/or Meemur LLC from any liability or claim that I, my heirs, or any personal representatives may have against her or her company 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 Allison Kalsched and/or Meemur LLC. This liability waiver and release extends to all owners, partners, and employees.
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