Hospitality Event | Chicago Church

Full name (first & last)*
Phone*
Email*
Enter Email Confirm Email
Class date(s) you will attend*
- Sunday March 28
Have you or anyone in your party been exposed to anyone with COVID-19, or have you been experiencing any symptoms (fever, cough, shortness of breath)?*
- NO, I / we have not been exposed / symptomatic and will attend
- YES, I / we have been exposed / symptomatic and will not attend
Have you or anyone in your party traveled to any of the states listed in the City of Chicago Emergency Travel Order?*
We need to abide by the requirements of the city’s Emergency Travel Order. The guidelines and the list of affected states can be found at www.chicago.gov/city/en/sites/covid-19/home/emergency-travel-order.html
- NO, I / we have not been in any of the listed states and will attend
- YES, I / we have been in one of the listed states and will not attend
Do you and everyone in your party agree to abide by health guidelines by wearing a mask and maintaining physical distance?*
- YES, I / we agree to abide by the guidelines and will attend
- NO, I / we do not agree to abide by the guidelines and will not attend
Acknowledgement of responsibility*
By attending The Moody Church’s ministry activities, you acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that you and your family members may be exposed to, including infection by COVID-19. You also acknowledge that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of yourself and/or others, including, but not limited to, The Moody Church’s employees, contractors, volunteers, and participants. You agree to assume all the foregoing risks, waive liability against The Moody Church and any other listed parties, and accept sole responsibility for any illness, injury, disability, or death, including all claims that may arise resulting from any of these.
- YES, I / we agree and will attend
- NO, I / we do not agree and will not attend
Questions / comments