EASTCHESTER CHURCH OF GOD COVID-19 WAIVER OF LIABILITY
COVID-19 is highly contagious and is known to spread mainly from person-to-person contact. By attending Eastchester Church Inc., (the "Church") you agree to abide by the procedures established by the Church to protect attendees and staff, and you voluntarily assume the risk that you and/or your family may be exposed to or infected by COVID-19 either at the Church or during the church worship service. You agree to assume all the risks of attendance and participation for you and your family, and you waive any liability against the Church, its attendees or any other parties of interest, directly relating to or attending the Church during your visit.
Do you agree with the statement above? *
Do you have fever or a temperature of 100.0 F and above? *
Do you have symptoms of cough and shortness of breath? *
Did you recently travel outside the US in the past 3-4 weeks? *
Have you had close contact with someone who recently traveled? *
Have you been in contact with anyone who tested positive for COVID-19 with the last 14 days? *
Did you fill out the service registration form? *
Signature (Please Print Name) *
Date *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy