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Masjid Al-Quran Coronavirus Declaration and Release
The purpose of this Coronavirus Declaration & Release (“CDR”) is to inform the members of Masjid Al-Quran of the risks associated with Coronavirus (“COVID-19”), a worldwide pandemic which can be a risk to the health and wellbeing of attendees.
In the event that you fail to abide by the safety precautions below, the masjid reserves the right to immediately remove you from the premises for the safety of staff and others. If you have any questions,Masjid Al-Quran encourages you to seek an attorney to review this CDR.By signing below, you agree, represent, and warrant that you have read the contents of this CDR, that you are understand its contents, and agree to comply with the safety precautions set forth herein.
This document only needs to be filled out once.
*A SEPARATE FORM MUST BE SUBMITTED FOR EACH FAMILY MEMBER*
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Masjid Al-Quran Coronavirus Declaration and Release form
Have you read and do you understand the Masjid Al-Quran Coronavirus Declaration and Release form in its entirety? If no, please review it again, ask a staff member, or contact the masjid at (617) 445-8070 or
Filling out your information below is signing the form.
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