Health Clearance Form | crossfit-kawaihae

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Kawaihae

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Visitors!

Please fill out this HEALTH CLEARANCE FORM

prior to signing up for a Class

Covid-19 Health Clearance

For CrossFit Kawaihae Visitors and Members returning from travel

First Name

Last Name

Email

I am not sick and I don't have any COVID19 symptoms

I have not tested positive for COVID19 in the last 5 days

I am not a close contact of someone who has tested positive of COVID19 within the last 5 days.

I agree to follow the additional cleaning and distancing protocols set forth by CrossFit Kawaihae

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thank you for submitting!

CONNECT

Hours of operation

FIND US ON GOOGLE MAPS:

61-3295 Maluokalani St

Building E Kamuela Hi 96743

Mailing:

PO Box 44925

Kamuela Hi 96743

crossfitkawaihaebox@gmail.com

Tel: 808-896-9613

Mon/Wed: 830AM to 630PM

Tues/Thurs: 5AM to 630PM

Fri: 5AM to 9:30AM

Sat: 7AM to 8AM

Sun: Closed

See Schedule Tab for Class Detailed Times

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