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We care about your safety

In an effort to keep our participant and instructors safe we ask that you fill out the below form no more than 24 hours before the start of your in-class training.  Should any concerns arise please contact us.  Participants are required to comply with our Pandemic Policy in order to attend in-class training.

COVID-19 Disclosure 
Do you have any of the following symptoms?
Would you answer yes to any of the following?
Within the last 14 days did you provide care to or have close contact with a symptomatic person known or supspected to have COVID-19?
Do you agree to wear a mask (surgical, cotton/polyester 2 ply or greater) when/if directed by public health, during in-door training?

By submitting this form I understand that I am making a declaration that I am the named person above and I agree that all of the above information is true to the best of my knowledge at the time of submission

Thank You,

From all the staff at PUSH for Life.

We look forward to training with you.

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