Agreement for Entry - Apartments in Charlottesville

Welcome! Beacon on 5^th Apartments in Charlottesville is so glad you are here. To visit with a Leasing Professional, or to use the Amenities, kindly answer the following questions before entry:

Name*
First Last
Email*
Agreement for Entry*
I agree to the following
I understand the following symptoms (Fever over 99℉, Cough, Shortness of Breath, Sore Throat, Headache, Fatigue) and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above WITHIN THE LAST 14 DAYS.

I affirm that I, as well as all household members, have not tested positive WITHIN THE PAST 30 DAYS.

I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed WITHIN THE PAST 14 DAYS.

I affirm that I, as well as all household members, have not traveled outside of the country, or to any city with a quarantine mandate WITHIN THE PAST 30 DAYS.

I affirm that I, as well as any household members, are not awaiting test results.

I understand that Beacon on 5th and its affiliates cannot be held liable for any exposure caused by misinformation on this form or the health history provided by each client.

I affirm that for the benefit of all face coverings are required for entry into this facility.

I affirm that I, as well as household members, understand that time and space in the amenities is limited and not guaranteed.

I affirm that I, as well as household members, understand that if guidelines are not followed, amenity privileges will be revoked.
Masks are required for entry into our facility.

Each guest is required to wash hands upon arrival and before leaving.

All amenity surfaces must be cleaned thoroughly by the resident before and after each use.

By signing below, I agree to each statement above and release Beacon on 5th, and its affiliates from any and all liability for unintentional exposure or harm.
Resident Signature*
The cursor will transform into a pen for signing your agreement for entry. You may also use your finger or stylus on compatible devices.

Thank You for visiting Beacon on 5^th Apartments. We appreciate you!