Our COVID-19 Protocols Keep You Safe

In response to the COVID-19 pandemic, Gotham Jiu Jitsu has made adjustments to keep you safe. All clients must complete the assessment below before each session.

COVID-19 ASSESSENT QUESTIONAIRE

1. IF A CLIENT ANSWERS YES (last question exempt) TO ANY OF THE QUESTIONS, THAT PERSON WILL NOT BE ALLOWED TO PARTICIPATE. PLEASE EMAIL COVID-19 TEST RESULTS TO PETER@GOTHAMJIUJITSU.COM

2. THE TEMPERATURE OF THE CLIENT WILL BE TAKEN UPON ARRIVAL TO THE TRAINING AREA. IF ANYONE HAS A FEVER (DEFINED AS GREATER THAN OR EQUAL TO 100.4 DEGREES) WE WILL NOT BE ABLE TO TRAIN AND THE SESSION WILL BE RESCHEDULED.

3. MASKS ARE MANDATORY AND YOU MUST PROVIDE YOUR OWN.

4. CLIENTS MUST WEAR N95 (or KN95) MASKS, LONG SLEEVE RASH GUARDS AND COMPRESSION SPATS (YOGA PANTS).

Name

First Name

Last Name

Phone

(###)

###

####

Communication Preference

Select Program of Interest

Location Preference

Train at home / office? Please include address below (ex. 123 Main Street, city, state, zip code).

Today's date

YYYY

My appointment date

YYYY

Have you experienced a fever of 100.4 degrees F or greater, a new cough, shortness of breath, loss of taste or smell, or other common Covid-19 symptoms within the past 10 days?

Have you been in close contact in the past 10 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19?

Did you personally take a nasal or saliva COVID-19 test within the past 10 days and receive a positive result?

Have you been vaccinated?