HEALTH DECLARATION FORM

I hereby certify that within the fourteen (14) days immediately preceding the Date of this Health Declaration Form, I HAVE NOT:

  1. tested positive or presumptively positive with the Coronavirus or been identified as a potential carrier of the COVID-19 virus or similar communicable illness;
  2. experienced any symptoms commonly associated with the Coronavirus;
  3. been in one of the designated states with significant community spread of COVID-19;
  4. been in direct contact with or the immediate vicinity of any person I knew and/or now know to be carrying the Coronavirus or has travelled outside of the United States.

By signing this Health Declaration Form, I AGREE TO:

  1. follow all the rules for safer outdoor dining at Parklife, including wearing masks when I am not eating or drinking, staying at my table with my “pod” unless to use the restrooms, and ordering food and drinks through Parklife’s website if I have a smartphone. I understand that these and other rules will be enforced because public health is everyone’s primary concern right now;
  2. not hold Parklife liable for any damages related to and arising from the Coronavirus. I understand and accept the risks of being in a public space without a vaccine for the Coronavirus;
  3. contact Parklife if I or anyone in my “pod” test positive to the Coronavirus or be contacted if another patron or staff tests positive for the Coronavirus. I understand that the information I provide below may be used for contact tracing;
  4. follow all City and State mandates regarding eating and drinking outdoors during COVID-19, including ordering one food item with my initial alcoholic beverage purchase.