As part of our facility reopening plan and for the health and safety of our members and staff, all those entering the building are required to complete this attestation upon entry.
I hereby attest that on this day the following are TRUE:
No one in my household including myself has experienced any of the following symptoms in the past 14 days: sore throat, cough, chills, body aches, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit
I do not have any reason to believe myself or anyone in my household has been exposed to or acquired COVID-19 in the past 14 days.
To the best of my knowledge I have not been in close proximity to any individual who tested positive for COVID-19 in the past 14 days.
I have not traveled within a State with significant community spread of COVID-19 for longer than 24 hours within the past 14 days.
As of October 6 those States include:
Alabama Alaska Arkansas Colorado Delaware Florida Georgia Guam Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska Nevada New Mexico Oklahoma Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Wisconsin West Virginia Wyoming
I understand that if the above statements are not true of myself or anyone in my household, I will not be permitted to enter the facility on this day. The record of your attestation will be kept on file at the Fulton County YMCA in an effort to help with contact tracing.