Level 2 Health and Safety Form

CONDITIONS OF ENTRY

This form must filled out by every member before their first workout back after lockdown.
You must swipe in on arrival for contact tracing purposes, and book classes.
You must sanitise your hands on arrival and departure.
You must bring your own full drink bottle and towel for every workout (or purchase at reception).
You must wipe down equipment after use.
Maintain physical distance rules at all times, respect others in the gym.
You need to stay home if you are unwell.
You must be able to agree to all items on the Health and Safety checklist below.

LEVEL 2 COVID-19 HEALTH & SAFETY CHECKLIST:

I do not have COVID-19
I am not awaiting the results from being tested for COVID-19
I do not have any symptoms associated with COVID-19 (e.g. runny nose, sneezing, fever, cough, sore throat, shortness of breath, loss of sense of smell)
I have not been in contact with any known or suspected cases of COVID-19 in the past 14 days
I have not returned, or been in contact with anyone else who has returned from overseas in the past 14 days

Every time you swipe in – you are agreeing to the conditions of entry and the Level 2 H&S Checklist.
You will also be confirming that you will adhere to all Health & Safety protocols and the SCF Gym rules and guidelines.

Tick to show you agree *

I confirm the above checklist points are true and correct for me, and if not I understand that I must stay at home and will need to be cleared by a medical professional before I can enter the gym. A breach of these rules may result in my membership being cancelled.

Tick to show you agree *

I am aware that a staff member may ask me to leave if I am found to be breaching any of the health and safety protocols or gym rules.

Writing your name is in place of a signature

* Indicates required field

Name *

First

Last

Date *

While we’ve got you, can you please confirm some important contact information as things may have changed since you first joined:

Your Mobile Phone Number *

Your Email *

Emergency contact name *

Emergency contact mobile number *

Emergency Contact Email *

Submit

SCF Level 2 Health & Safety Form

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