DECLARATION OF COMPLIANCE – COVID-19


WARNING!

ALL PARTICIPANTS ENTERING THE FACILITY MUST COMPLY WITH THIS DECLARATION
Gymnastics Newfoundland & Labrador and The Wee Gym (collectively the “Organization”) require the
disclosure of exposure or illness is in order to safeguard the health and safety of all participants and limit
the further outbreak of COVID-19. This Declaration of Compliance will be kept safely, and personal
information will not be disclosed unless as required by law or with your consent.
A participant (or the participant’s parent/guardian, if the participant is younger than 18 years old) who is
unable to agree to the terms outlined in this document is not permitted to enter the Organization’s
facilities or participate in the Organization’s activities, programs, or services.
I, the undersigned being the participant named above and the participant’s parent/guardian (if the
participant is younger than 18 years old), hereby acknowledge and agree to the terms outlined in this
document:


1) The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health
Organization and COVID-19 is extremely contagious. The Organization has put in place preventative
measures to reduce the spread of COVID-19 and requires all participants (or their parent/guardian,
when applicable) to adhere to the compliance standards described in this document.


2) The participant has not been diagnosed with COVID-19. OR If the participant was diagnosed with
COVID-19, the participant was cleared as noncontagious by provincial or local public health
authorities more than 14 days prior to the date this Declaration of Compliance was signed.

3) The participant has not been exposed to a person with a confirmed or suspected case of COVID-19.
However, if the participant was exposed to a person with a confirmed case of COVID-19, the date of
exposure was more than 14 days prior to the date this Declaration of Compliance was signed.

4) The participant is attending or participating voluntarily and understands the risks associated with
COVID-19. The participant (or the participant’s parent/guardian, on behalf of the participant (when
applicable) agrees to assume those risks, including but not limited to exposure and being infected.

5) The participant has not, nor has anyone in the participant’s household, experienced cold or flu-like
symptoms in the last 14 days (including fever, cough, sore throat, shortness of breach, respiratory
illness, difficulty breathing).

6) If the participant experiences, or if anyone in the participant’s household experiences, any cold or
flu-like symptoms after submitting this Declaration of Compliance, the participant will immediately
isolate and not attend any of the Organization’s facilities, activities, programs or services until at
least 14 days have passed since those symptoms were last experienced.

7) The participant has not, nor has any member of the participant’s household, travelled to, or had a
lay-over in any country outside Canada, or in any province outside of Newfoundland & Labrador in
the past 14 days. If the participant travels, or if anyone in the participant’s household travels,
outside the Province of Newfoundland & Labrador after submitting this Declaration of Compliance,
the participant will not attend any of the Organization’s facilities, activities, programs or services
until at least 14 days have passed since the date of return.

8) The participant is following recommended guidelines, including but not limited to, practicing
physical distancing, trying to maintain separation of six feet from others, frequent handwashing, and
otherwise limiting exposure to COVID-19.

9) The participant will follow the safety, physical distancing, and hygiene protocols of the Organization.

10) This document will remain in effect until the Organization, per the direction of the provincial
government and provincial health officials, determines that the acknowledgements in this
Declaration of Compliance are no longer required.

11) The Organization may remove the participant from the facility or from participation in the activities,
programs or services of the Organization at any time and for any reason if the Organization believes,
in its sole discretion, that the participant is no longer in compliance with any of the compliance
standards described in this document.

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The Wee Gym - Sports, Fitness & Fun! https://www.theweegym.com
Signature Certificate
Document name: DECLARATION OF COMPLIANCE – COVID-19
lock iconUnique Document ID: d33a89ee9ba008e6fdda1e3b82bb74dc035ee5a8
Timestamp Audit
July 22, 2020 10:04 am NDTDECLARATION OF COMPLIANCE – COVID-19 Uploaded by Waiver Administrator - info+waivers@theweegym.com IP 72.137.220.142