Due to the COVID-19 outbreak, JustBriFree Yoga & Wellness is taking extra precautions with the care and consideration of every student’s health in accordance with the guidelines set forth by federal, state, and local health agencies.

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COVID Symptoms include:

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• Dry Cough

• Fever

• Fatigue

• Difficulty Breathing

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I agree to the following:

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• I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above WITHIN THE LAST 14 DAYS.

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• I affirm that I, as well as all household members, have not been diagnosed with COVID-19 WITHIN THE PAST 30 DAYS.

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• I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 DAYS.

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• I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 30 DAYS.

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• I understand that JustBriFree LLC cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form or the health history provided by each client.

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• I agree to maintain at least 6-feet distance between classmates and the instructor(s). I also agree to wear a mask at all times except while actively practicing.

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