The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization.
COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.
Gull Lake Ministries (GLM) has put in place preventative measures to reduce the spread of COVID-19; however, GLM cannot guarantee that you will not become infected with COVID-19. Further, attending GLM ministry events and activities could increase your risk of contracting COVID-19.
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I attest that ne
ither I, nor any of my
family who are attending GLM,
are
experiencing any symptoms of illness such as
fe
ver, cough, or shortness of breath today. If
I, or
any of my family
develop these symptoms before or during
our
attendance at GLM
,
we
agree
to
return home
immediately
and avoid any
contact with
others at GL
M.
-
My family and I are
aware that
while
we are a
t
GLM
we
must follow safety and hygiene protocols
that have been
implemented by GLM
a
nd
shared
with
us in writing or ver
bally.
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I attest that:
-
No one in my family has
traveled outside of the US or Canada within 14 days of participating
at GLM
.
-
I do not believe that
any of my f
amily
have been exposed to
a person or suspected case of COVID
-
19.
-
No one in my fam
ily
ha
s
bee
n diagnosed with COVID
-
19
or awai
ting
clear
ance
as noncontagious by state or
local public health authorities.
-
If
any family members were
previously diagnosed with COVID
-
19,
we have
m
et CDC guidelines to
discontinue self
-
iso
lation or have been cleared by a
qu
a
lified
health provider.
-
Our fami
ly is
following recommended
CDC
guidelines as much as possible
–
practicing social distancing by
avoiding group gatherings, trying to maintain separation of six feet from others, and otherwise limiting
our
By signing this agreement, I acknowledge on behalf of my family the contagious nature of COVID-19 and voluntarily assume the risk that we may be exposed to or infected by COVID-19 by attending GLM and that such exposure or infection may result in personal injury, illness, permanent disability, or death. I understand that the risk of becoming exposed to or infected by COVID-19 at GLM may result from the actions, omissions, or negligence of myself, my family and others, including but not limited to GLM staff, volunteers, and the general public.
I, along with my family, voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to us (including, but not limited to personal injury, illness, permanent disability, and death), damage, loss, claim, liability or expense of any kind that we may experience or incur in connection with our attendance at GLM or participation in any GLM activity (“Claims” On my behalf and my family’s, I hereby release, indemnify, covenant not to sue, discharge, and hold harmless GLM, 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.
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I understand and agree that this release includes any Claims based on actions, omissions, or negligence
of
G
ull Lake Ministries
, its employees, agents, and representatives, whether a COVID
-
19 infection
occurs before, during or after participation
at GLM
.