Death Café  
November 21st, 2pm - 5pm
Event Facilitator: REC Rayven Holmes
Safety Ambassador: DRE Paul Greggs  
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Fill out one form per participant. All fields are required to ensure proper contact tracing, record keeping, and notifications of changes.
Youth's First Name *
Youth's Last Name *
Youth's Pronouns *
Guardian's First Name *
Guardian's Last Name *
Guardian's Phone Number *
Guardian's Email Address *
Minimum requirements to attend any event at CVUU include the following: mandatory mask wearing and physically distancing of at least 6' from other participants. Those who currently have COVID-19 symptoms, are awaiting results from a COVID-19 test, have tested positive (and have yet to test negative), and those who are feeling unwell (or have felt unwell in the last 14 days) are not permitted to attend any events. Each event will be attended by at least one COVID Safety Ambassador who provides enforcement of these policies. Other participation requirements that are specific to the details of your event will be communicated by your event's facilitator.
Do you agree to follow all the guidelines communicated for Covid-19 safety at CVUU? *
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