- In compliance with the State of Washington’s “Healthy Washington Roadmap to Recovery” plan and the Diocese of Olympia’s “Guide to Gathering in Person”, St. Luke’s Memorial Episcopal Church, Tacoma, Washington requires that you be informed of the symptoms, and mechanisms of spread, of the 2019 novel Coronavirus (COVID-19); attest to be symptom free at time of entering the premises, consent to the risks of working, volunteering, or participating in any activity on the premises, and to release St. Luke’s Memorial Episcopal Church from liability in the event of exposure or sickness.
What is the Coronavirus and how does it spread?
COVID-19 is an illness caused by a virus that is spread person-to-person or by touching a contaminated surface and then touching your eyes, nose, mouth, or face. The virus is believed to be spread primarily through respiratory droplets. Those who have been infected have reported mild to severe symptoms, and can include:
Fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea.
While all people are at risk of contracting COVID-19, older people (over the age of 65) and those with underlying health conditions (heart or lung disease, diabetes, etc.) are at greater risk of adverse health effects and death and are strongly encouraged to stay home.
If you have experienced any of the above symptoms within 14 days prior to the event you plan to attend at St. Luke’s, or have come into contact with anyone who has shown signs of these symptoms or has tested positive for COVID-19 within the same 14 day period, you are required not to attend the event at St. Luke’s (or if already on site for the event to vacate the premises immediately) and strongly encouraged to contact your medical care provider.
Cooperative Mitigation Policy (Outdoor Liturgies)
To ensure the health and well-being of all persons entering the property and premises of St. Luke’s Memorial Episcopal Church (which includes all exterior grounds, parking lots, and driveway aprons) for work or worship, all persons must individually consent to the following practices without exception:
• Complete an Individual Attestation and Consent to Work/Participate form or fill out a form upon arrival.
• Bring and wear a cloth face covering that covers completely the nose and mouth at all times (except those under the age of 2).
• Maintain physical distancing of at least six (6) feet between all persons not from the same household.
• Undergo a temperature check prior to entering the worship space. (Those with temperatures of 100.4°F or greater will be required to vacate the premises immediately and are strongly encouraged to contact their medical care provider.)
• Use hand sanitizer (provided) prior to entering the worship space.
• Refrain from physical contact and sharing of items with others (e.g., books, leaflets, pens, etc.).
• Restrooms are available as designated. Only one person may use at a time and thorough handwashing after is required.
• Understand that if anyone does not abide with this mitigation policy, the event will end immediately and the participants will be dispersed.
Attestation and Consent
By signing below, I attest:
• That I have read completely and acknowledge all pages of the Individual Attestation and Consent to Work/Participate form.
• That to the best of my knowledge, I have not been in close or proximate contact with anyone who has had symptoms of COVID-19 or who has tested positive for COVID-19 within 14 days prior to the event date.
• That I have not tested positive for COVID-19 within 14 days prior to the event date.
• That I have not experienced symptoms of COVID-19 within 14 days prior to the event date, including but not limited to fever, fatigue, difficulty breathing, or dry cough (see description above).
• That I have followed the CDC and Washington Health officials’ guidelines of maintaining physical distancing, wearing facial coverings, and refrained from participating in gatherings that do not observe these guidelines.
• That I have not travelled internationally within 14 days prior to the event date.
And I consent:
• To St. Luke’s Memorial Episcopal Church keeping this document on file for no less than 21 days after the event date for the purpose of contact tracing, should an exposure event occur.
• To accept the risks associated with community transmission of COVID-19 and other contagious or infectious diseases and the potential for exposure even with proper mitigation protections.
• To comply with the stated Cooperative Mitigation Policy and agree to leave the premises immediately in the event of non-compliance.
• I, on my behalf and that of my minor child, if applicable, do release St. Luke’s Memorial Episcopal Church; St. Luke’s Preschool; the Diocese of Olympia, and their respective employees, agents and clergy from any and all liability, claims for damages of any kind, costs or expense which I may incur in the event that I or my child are exposed and/or become ill from COVID-19 as the result of my/our participation or employment.