The safety of our students is the overriding priority of the Marcelo Garcia Jiu Jitsu Academy of Gainesville (the "Academy") as the COVID-19 coronavirus pandemic continues to pose a threat to public health.  To prevent the spread of COVID-19 and reduce the potential risk of exposure to our students, we are conducting a simple screening questionnaire.  The completion of this is mandatory as an important precautionary measure to protect you and the other students.  The information provided in this form will not be shared or used for any purpose other than screening related to the COVID-19 pandemic.

By clicking below, I affirm that I have not been within 6 feet of a person with a confirmed case of COVID-19 for at least 5 minutes, in the past 14 days.

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I affirm that in the last 48 hours,  I have not experienced any cold or flu-like symptoms including fever, cough, sore throat, respiratory illness, difficulty breathing, loss of smell and taste, chills, headache, nausea, vomiting, or diarrhea.

I affirm that my answers to these questions are accurate and truthful.  I also agree that the Academy may use a touchless thermometer to test my body temperature and may deny access based on those results.  I also agree that, I will immediately notify the Academy if my responses to any of these questions change at any time in the future.

Further, I acknowledge that participating in the sport of Jiu Jitsu unavoidably involves close physical contact with other persons and that close physical contact may be conducive for the transmission of the COVID-19 coronavirus.  I acknowledge that despite the sanitation and screening practices of the Academy, I may contract the COVID-19 coronavirus by entering the Academy.  I knowingly assume all risk relating to contracting COVID-19 at the Academy and release the Academy and its owners individually from any and all claims relating to contracting the COVID-19 coronavirus at the Academy.