Health Screening Agreement

We would like to ensure the safety and health of individuals. As part of our commitment to take part in preventing the spread of COVID-19, we would like to request from you the commitment to complete the health screening before entering the premises. This procedure is a requirement by the public health department. 

I understand my commitment to the screening process that I shall undergo during ingress to the premises and during participation in physical activities. I understand my responsibility to call the institution and refrain from going to the venue of the institution in the event that I feel any of the following conditions:

1. Feverish
2. Fatigue
3. Headache
4. Runny nose
5. Dry Cough
6. Sore Throat
7. Loss of Taste or Smell
8. Nausea
9. Muscle and/or Joint Pains
10. Vomiting
11. Diarrhea

Likewise, I will stay at home and notify my superiors in any of the following circumstances:

1. I have been tested positive for COVID-19;
2. I have been notified to have been exposed to someone who is positive for COVID-19;
3. I have seen a medical doctor and he/she has reason to believe that I should take the necessary precautions to stay at home or rest from the symptoms of COVID-19.

I understand that this process is not absolute and may be modified by the institution from time to time, depending on the status of the implementations made by the government.