Church Event COVID-19 Liability Waiver Form
Please complete this form to provide your attendance details, confirm your health status, and acknowledge the waiver for this church event.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Event Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Have you experienced any symptoms such as fever, cough, or shortness of breath in the past 14 days, or been in close contact with anyone diagnosed with COVID-19?
*
No
Yes
COVID-19 Liability Waiver and Acknowledgment
*
By signing below, I acknowledge that I have read and agree to the terms of this COVID-19 liability waiver for participation in the church event.
*
Submit Waiver
Submit Waiver
Should be Empty: