HEALTH DECLARATION FORM
I hereby certify that within the fourteen (14) days immediately preceding the Date of this Health Declaration Form, I HAVE NOT:
- tested positive for COVID-19 or similar communicable illness;
- experienced symptoms commonly associated with COVID-19;
- been in an area of significant community spread of COVID-19;
- been in contact with any person I knew 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:
- follow all the rules for safer outdoor dining including but not limited to wearing masks when I am not eating or drinking, and staying at my table with my “pod” unless to use the restrooms. I understand that if I or anyone in my “pod” act in any way that endangers public health, we will be escorted off the premise without a refund;
- 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;
- contact Parklife if I or anyone in my “pod” test positive for COVID-19 or be contacted if another patron or staff tests positive. I understand that the information I provide will solely be used for contact tracing and not for marketing purposes;
- follow all City and State mandates regarding eating and drinking outdoors during COVID-19, including ordering one substantial food item with my initial alcoholic beverage purchase.