COVID-19 WAIVER FORM COVID-19 WAIVER FORM Please Select a Location*Perth AmboyAsbury ParkPlainfieldIglesiaDear Member/Employee/Visitor: The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. As a result, federal, state, and local governments and agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. We are doing everything we can to be compliant with all regulations and ensure your safety. We have put in place preventative measures to reduce the spread of COVID-19, but we cannot guarantee that you or family members will not become infected with COVID-19. By participating in programs, services, events, and activities of Cathedral International, you agree to the following: On behalf of yourself and your children, you hereby release, covenant not to sue, discharge, and hold harmless Cathedral International, its employees, agents, and representatives, of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in our programs, services, events or activities. You understand and agree that this release includes any claims based on the actions, omissions, or negligence of this organization, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any such program, service or activity.Please Provide Your Full Name* First Last Date Date Format: MM slash DD slash YYYY PhoneList Names of Minor Family MembersName of Minor Family Member (if any): First Last Name of Minor Family Member (if any): First Last Name of Minor Family Member (if any): First Last Name of Minor Family Member (if any): First Last Name of Minor Family Member (if any): First Last CAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Leon Largie2020-10-02T15:55:12-04:00 Share To Your Network FacebookTwitterLinkedInEmail
