By electronically submitting this form, the submitter is attesting under penalty of perjury that
the foregoing is true and correct to the best of his/her knowledge, information, and belief,
that he/she has the authority to act on the behalf of the entity and that the entity, and all
of its locations agree to be bound by this attestation.
By submitting this attestation, the entity is acknowledging its understanding that pursuant to E.O.
2020-43 IT SHALL PAUSE OPERATIONS THROUGH ANY MANDATED CLOSURE, SUBJECT TO ANY EXTENSION OR MODIFICATION OF
E.O. 2020-43. Submission of this attestation does not provide the entity with the authority to reopen
and begin operations.
By submitting this attestation, the indoor gym and fitness club/center is agreeing to meet the guidance
in the ADHS Requirements for Indoor Gyms and Fitness Clubs/Centers document dated July 22, 2020
ADHS will notify entity owners
of any change to the guidance document, and entity owners agree to be compliant with updated guidance
within 48 hours of publication.
By submitting this attestation, the entity also agrees that ADHS or the county health department
(at its discretion) may ensure compliance with the attestation.
Notwithstanding the submission of this attestation, if ADHS becomes aware of actions taken by the entity that
jeopardize the health, safety, and welfare of the public or that the representations in this attestation are
false, ADHS may take additional action as necessary to protect the health, safety and welfare of the public.