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I acknowledge the contagious nature of the COVID-19 virus, and respect that the facility adheres to CDC recommendations. I further acknowledge that Alpha Omega Martial Arts, Alpha Omega Jiu-Jitsu, and Laredo Karate Center have put in place preventative measures to reduce the spread of the COVID-19 virus, to the best of their abilities. I further acknowledge that no guarantee exists regarding whether or not I may contract COVID-19. I understand that the risk of becoming exposed to and/or infected by the COVID-19 virus may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff and other clients. I acknowledge that I increase my risk of exposure to COVID-19 by participating in services rendered. I acknowledge that I must comply with all set procedures to reduce the spread while in attendance.


I attest that:

  • I am not experiencing any symptom of illness such as cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell;

  • I have not traveled internationally within the last 14 days;

  • I have not traveled to a highly impacted area within the United States in the last 14 days;

  • I do not believe I have been exposed to someone with a suspected and/or confirmed case of COVID-19;

  • I have not been diagnosed with Coronavirus/Covid-19 by state or local public health authorities; and

  • I am following all CDC recommended guidelines as much as possible, including limiting any purposeful exposure to COVID-19.


I pledge that I will notify Alpha Omega Martial Arts OR Alpha Omega Jiu-Jitsu if within 14 days of attending class if my answer changes to any of the aforementioned statements change.


I hereby release and agree to hold Alpha Omega Martial Arts, Alpha Omega Jiu-Jitsu, and Laredo Karate Center harmless from any causes of action, claims, demands, damages, costs, expenses and compensation for damage to myself that may be caused by any act, or failure to act, or that may otherwise arise in any way with any services received. I understand that this release discharges the aforementioned from any liability with respect to bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received. This waiver and release extends to all owners, partners, and employees.

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