Registration Form – Liability Waiver

Participants First Name :.............................................Last Name:............................................................

Informed Consent Declaration – Covid-19:

Have you recently or currently developed any of the following symptoms/medical conditions? (Please circle
any that apply) (The following may be subject to change with current guidance, some symptoms may not seem
like they are related but have been suggested by medical practitioners as a precaution as some studies have
found to include these more unusual/irregular effects from Covid-19.)

A New And Fever/High Loss or change of

Gastro-intestinal upset
Continuous Cough Temperature sense of smell/taste

Eczema/rashes or other Weakened immune Eye infections such as red

Cuts/broken skin
skin related issues system eye

Other related or non-

Blood Clots related high risk
conditions?

If you have circled any of the above, please give details:

…………………………………………………………………………………………………………………………………………………………….

Are you shielding?/Do you have contact with someone who is shielding? Y/N
Please give details if Yes:

…………………………………………………………………………………………………………………………………………………………….

Have you previously been diagnosed with Covid-19?

If so, when were you confirmed negative?

- N/A
- 24hrs ago
- Today
- 10 days after testing

Have you knowingly had any contact with anyone that has tested positive for Covid-19?

- Yes
- No

Risk Assessment:

As part of our risk assessment policy, we ask you to complete a health declaration for each session you
attend, which will be available via a link and completed on your phone, on arrival at the studio.

If we suspect you may have any Covid-19 related symptoms, we are obligated for the safety of yourself and
others to refuse access to any sessions in our studio.

Covid-19 Safety Practices: IMPORTANT - PLEASE READ!

Please remind yourself of these practices and respect these rules whilst in the studio.

- You MUST complete a health declaration every time, prior to entering the space
- You MUST wash/disinfect your hands upon arrival and before exiting the studio
- You MUST maintain the 2metres distance as advised by government at all times
- Please only bring your own water bottle
- DO NOT consume food or open beverages in the studio. No communal cups will be available for the
time being
- Please only bring minimal bags/items with you to the studio and refrain from unpacking any
unnecessary items
 Registration Form – Liability Waiver
- Please do not use your phone whilst at the studio unless it is an emergency, i.e
no videoing/photos for now, hands must be washed inbetween should you
touch your phone and the equipment. Contact must be minimised due to cross
contamination.
- To minimise the use of the toilet, please come prepared in the clothes you wish to train in, if you use
the facilities, please wipe down any surfaces with the disinfectant provided.
- Please do your best to have hair tied up to minimise contact between touching hair and equipment

- If you cough or sneeze please use a tissue, dispose of it immediately (do not leave tissues lying
around the studio) and wash your hands. (Alternatively use your hands and wash immediately –
NOT elbows, as this may contaminate the equipment you may be using)

Warm Ups
- Please refrain from cardio exercises for warm ups which can result in excessive heavy breathing.
Whilst this is difficult to restrict, we want to minimise the risk of airborne virus transmission where
possible. Please follow our suggested mobilisation and stretching exercises to prepare for aerial
activity.

- We will aim to prepare the studio and equipment before the session, having the mats down and in
place, to minimise your movement around the studio.

- When you arrive, please go to your allocated area to warm up and stretch, avoid entering another
persons area.

Equipment

- Strictly no sharing of equipment – you will be allocated one piece of aerial equipment that you must
stick to
- Please refrain from using any equipment other than your allocated piece of aerial equipment and
crash mat. E.g. Do not use the yoga mats/straps
- We will be disinfecting all equipment used and surfaces in-between sessions, we ask that you clean
your own mats to assist us and by minimising the number of surfaces you come in contact with,
cleaning where possible.
- For the time being we will be maintaining a strict schedule – quarantining the used equipment for
72 hours in between sessions to minimise the risk of spreading the virus. (Of course, this is subject
to change with government guidelines).

Contact Tracing

- We may need to contact you, should there be any development of symptoms in anyone who has
visited the studio. We will keep your contact details safe and do not use them for advertising or
sending to a third party.
- You have a responsibility for the safety of others that enter the studio, you MUST contact us as soon
as possible if you develop any symptoms so that we can inform and deal with contacting others
appropriately and swiftly.

Honesty

- We expect you to answer the health declaration in full honesty for the protection yourself and
others, as well as to keep the studio open and functioning as much as possible.

GDPR

- Your information will be kept secure as per government guidelines on data

protection. Files will be password protected and will be available for you to view
should you request your information. We do not pass on any information to any third
parties.
 Registration Form – Liability Waiver
By ticking the following box you are agreeing to the conditions within this
document and the rules of the studio environment.

Signature of Participant:___________________________________

Date:_____________________________________