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Welcome to ONE15 Brooklyn Marina and ONE15 Brooklyn Sail Club

All guests and users of the Marina and Sail Club must sign this daily waiver before entering the Marina premises. Parents and guardians have to sign for minors.

Thank you for your co-operation

 

The ONE15 Brooklyn Marina Team
NYC's Premiere Waterfront Destination 

Sail Club Members, Guests and Sailing Students

I understand that sailing and learning how to sail is a sport which involves risk such as injury, loss, damage, sickness, disease (including COVID-19) and death. I agree to assume that risk. I understand that I share the responsibility for the safety of myself and others and I agree to practice safe boating. I agree to follow the skipper’s instructions as part of my commitment to learn the sport of sailing. I and on behalf of my spouse, children, parents, guardians, heirs, next of kin, and any legal or personal representatives, executors, administrators, successors and assigns, or anyone else who might claim or sue on my behalf (“Releasing Parties”), agree not to sue other Club Members or the ONE 15 Brooklyn Sail Club, LLC (“BSC”) and to indemnify and hold harmless all other members of the Club, BSC and its parent and affiliated companies, subsidiaries, contractors, employees and representatives, and the ONE 15 Brooklyn Marina, LLC, and its parent and affiliated companies and its agents, officers and employees from all claims of injury or death to person, persons, or damage to property arising from my participation in sailing and sailing lessons through the Club.

Non-Sailing Guests and Marina Guests or Users

I and on behalf of the Releasing Parties, agree not to sue other Club Members or the ONE 15 Brooklyn Sail Club, LLC (“BSC”) and to indemnify and hold harmless all other members of the Club, BSC and its parent and affiliated companies, subsidiaries, contractors, employees and representatives, and the ONE 15 Brooklyn Marina, LLC, and its parent and affiliated companies, agents, officers and employees from all claims of injury, sickness, disease (including COVID-19) or death to person, persons, or damage to property arising from my presence on the Club Facilities or ONE15 Brooklyn Marina.

As sailing guests, non-sailing guests of a Club Member, sailing students, or marina guests or users, I further agree to follow all Club and Marina Rules, Policies and Procedures, including COVID-19 Protocols.

June 13, 2021

 

First Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*

Phone*
First Marina/Sail Club Guests and Users Date of Birth*
I certify that I am 18 years of age or older
First Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

First Marina/Sail Club Guests and Users Signature*
Second Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Second Marina/Sail Club Guests and Users Date of Birth*
Second Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Third Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Third Marina/Sail Club Guests and Users Date of Birth*
Third Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Fourth Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Fourth Marina/Sail Club Guests and Users Date of Birth*
Fourth Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Fifth Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Fifth Marina/Sail Club Guests and Users Date of Birth*
Fifth Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Sixth Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Sixth Marina/Sail Club Guests and Users Date of Birth*
Sixth Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Seventh Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Seventh Marina/Sail Club Guests and Users Date of Birth*
Seventh Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Eighth Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Eighth Marina/Sail Club Guests and Users Date of Birth*
Eighth Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Ninth Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Ninth Marina/Sail Club Guests and Users Date of Birth*
Ninth Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Tenth Marina/Sail Club Guests and Users Name

First Name*

Middle Name

Last Name*
Tenth Marina/Sail Club Guests and Users Date of Birth*
Tenth Marina/Sail Club Guests and Users Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Parent or Guardian's Email Address

Email*
Check to receive ONE15 Brooklyn Marina/Sail Club information, news, and discounts by e-mail.
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Click to customize multiple choice*
Guest of Marina
Guest of Sail Club
Contractor/Service
Sail Club Member
Other

COVID Questionnaire and Acknowledgment

Are you feeling ill today with any of the following symptoms? • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you experienced the following symptoms in the past 14 days? (Yes/No) • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
Have you have been in close contact with anyone who is sick or showing any of the below symptoms? • COVID-19 (Yes/No) • Shortness of breath (Yes/No) • Fever (Yes/No) • Cough (Yes/No) • At least 2 of the following: fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell (Yes/No)*
No
Yes
I have had COVID-19, confirmed by test and recovered (Yes/No)*
No
Yes

Acknowledgement

  • You are indicating that (i) you are not experiencing symptoms of illness (i.e. shortness of breath, fever or cough), and (ii) you have not experienced those symptoms in the past 14 days, and (iii) you have not been in close contact with anyone who is sick or showing any illness, or (iv) you have had COVID-19 and have recovered
  • You will alert us if you have been diagnosed with COVID-19 after being at ONE15 Brooklyn Marina/ONE15 Brooklyn Sail Club property (including boats, docks, Ebb & Flow and Estuary Restaurant)
  • If you feel any symptoms of COVID-19 while at ONE15 Brooklyn Marina, you will let ONE15 staff know and immediately leave the property and appropriately seek medical attention
  • You agree to abide all safety, health, security and COVID protocols established by ONE15 Brooklyn Marina LLC and its affiliated companies

Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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