Church Reservations for Sunday, October 17, 2021

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Thank you for your interest in joining us for our in-person Sunday worship at 10 a.m. We will be holding indoor services in the Social Hall. Due to limited space, please make a reservation to let us know how many in your household will be attending.

Please read the waiver below.

I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren), spouse, and I may be exposed to or infected by COVID-19 by attending the Church or Church-related activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Church or Church-related activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Church employees, volunteers, and Church-related activity participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren), spouse, or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that my child(ren), spouse, and I may experience or incur in connection with my child(ren)’s attendance at the Church or participation in Church-related activities (“Claims”).

On my behalf, and on behalf of my spouse and children, I hereby release, covenant not to sue, discharge, and hold harmless the Church, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto.

I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Church, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Church-related activity. I understand and agree that the law of the State of California will apply to this Waiver of Liability.

Do you and your family members agree to the above waiver? *

Yes, I/we agree

Name (First and Last) *

Email *

Phone Number *

Additional Family Members

Please list the names of all of the family members that will be attending service.

Family Member (Spouse)

Family Member (Child)

Other people attending

Please list other individuals that will be attending and their relationship to you.

Name (relationship to you)

Will your child(ren) be staying for our in-persib Sunday School?

Yes

N/A

Clear selection

How many of your children will be staying for our in-person Sunday School?

Clear selection

Do you require any special seating accommodations? (cry room, arm chairs, space for a wheelchair, etc.)

Do you need transportation to church?

Yes

Clear selection

Would you be able to provide transportation for anyone who might need it?

Yes

Clear selection

Submit

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