Saint George CONID-19 Legal Agreement

NOTICE OF ACKNOWLEDGEMENT OF RISK

·        The COVID‐19 virus has a long incubation period and I, along with the Saint George Antiochian Orthodox Church, Cicero, Illinois, (hereinafter “Saint George Cicero”) clergy, staff, officers, agents, volunteers, employees, representatives, parishioners, and other participants and their families may have the virus and not show symptoms and yet still be highly contagious. 

·        I understand and accept that there is an increased risk of contracting COVID‐19 simply by being in the Saint George Cicero building and by my attendance at any and all future Saint George Cicero church services and/or events. I understand and accept the additional risk of contracting COVID‐19 from my attendance at any and all future Saint George Cicero church services and/or events.  I also acknowledge that I could contract COVID‐19 from any events unrelated to my visit at Saint George Cicero.

ASSUMPTION OF RISK FORM

·        I UNDERSTAND THAT COVID-19 is a worldwide pandemic, thatit is extremely contagious, and that it can spread from, among other things, person-to-person contact.  As a result of COVID-19’s extremely contagious nature, federal, state, and local governments, and health agencies, including the Centers for Disease Control (“CDC”) and Illinois Department of Public Health (“IDPH”) recommend social distancing.

·        I UNDERSTAND THAT Saint George Cicero has put in place policies to reduce the spread of COVID-19 as enumerated within the “Saint George Cicero COVID-19 Reopening Parish for Church Services Manual.”

·        I UNDERSTAND THAT in order to attend any and all future services at Saint George Cicero I must read the “Saint George Cicero COVID-19 Reopening Parish for Church Services Manual” and that I have done so.

·        I UNDERSTAND THAT Saint George Cicero cannot guarantee that I will not become infected with COVID-19.  Attendingany and all future services and/or events at Saint George Cicero could increase the risk to me and all other members of my family of contracting COVID-19.

·        I UNDERSTAND THAT, in order to attend any and all Saint George Cicero services and/or events, I must sign the “Assumption of the Risk, Notice of Acknowledgement of Risk, Waiver of Liability, and Indemnification Forms Relating to Coronavirus (COVID-19).”

·        I UNDERSTAND and voluntarily agree to assume all of the risks and accept sole responsibility for any personal injury, including, but not limited to, any disability, death, illness, damage, loss, and/or other expenses, of any kind,  to me that I may experience or incur arising from COVID-19 in connection with my attendance at any and all future Saint George Cicero services and/or events (“Claims”).

·        (Applicable only for those 65 and older, or those turning 65 on or before June 30, 2020): I UNDERSTAND THAT I am 65-years-old, or older, that I am at a higher risk for contracting COVID-19, and that I fully assume any and all risks related thereto while attending any and all future services and/or events at Saint George Cicero.  I UNDERSTAND THAT, as someone who is 65-years-old, or older, it has been strongly suggested and recommended that I remain at home and to not attend any services and/or events at Saint George Cicero during the COVID-19 pandemic.  Accordingly, I assume any and all risks associated with COVID-19 by attending any and all future services and/or events at Saint George Cicero.

INDEMNIFICATION FORM

·        I have not traveled domestically or internationally within the last 15 days.

·        I have not tested positive for COVID-19 at any point within the last 15 days.

·        I have not been exposed to COVID-19 within the last 15 days.

·        I have not come into contact with anyone who has tested positive for COVID-19 within the last 15 days. 

·        I do not have any of the following symptoms: sick or not feeling well, temperature of 100.3 or higher, cough, sore throat; shortness of breath, loss of smell and/or taste; and/or body aches or muscle aches.

·        (Applicable only for those 65 and older, or those turning 65 on or before June 30, 2020): I am 65-years-old, or older, and understand that I am at a higher risk for contracting COVID-19 and that I fully assume any and all risks related thereto while attending any and all future services and/or events at Saint George Antiochian Orthodox Church, Cicero, Illinois (hereinafter “Saint George Cicero”). I UNDERSTAND THAT, as someone who is 65-years-old, or older, I understand that it has been strongly suggested and recommended that I remain at home and to not attend any and all future services and/or events at Saint George Antiochian Orthodox Church, Cicero, Illinois during the COVID-19 pandemic.  Accordingly, I assume any and all risks associated with COVID-19 by attending services and/or events at Saint George Antiochian Orthodox Church, Cicero, Illinois.

·        I willnot attend the service I am scheduled to attend if I have developed any symptoms such as a temperature of 100.3 or higher, cough, sore throat, shortness of breath, loss of smell and/or taste between now and the time of the service I am scheduled to attend, and will immediately notify the Saint George Antiochian Orthodox Church, Cicero, Illinois office at office@StGeorgeChi.org.

·        If I, or anyone in my family, who attended a service and/or event at Saint George Antiochian Orthodox Church, Cicero, Illinois, develops signs and/or symptoms, and/or contracts, COVID-19, within 15 days after the service which they attended, they shall immediately inform the Saint George Antiochian Orthodox Church, Cicero, Illinois, office by calling it at (708) 656-2927 and by email at office@StGeorgeChi.org.

·        I do hereby indemnify, release, and hold harmless Saint George Antiochian Orthodox Church in Cicero, Illinois’s clergy, staff, officers, agents, volunteers, employees, and representatives, for any and all losses, damages, personal injury, disability, death, illness, claims, liability, and/or other expenses, of any kind, that me, my children, or any other member of my family, may experience or incur in connection with my attendance, my child(ren)’s attendance, or the attendance of any other member of my family at any and all future Saint George Antiochian Orthodox Church, Cicero, Illinois’s services and/or events.

LIABILITY WAIVER FORM

·        I understand and acknowledge that COVID-19 is highly contagious and voluntarily assume the risk that my attendance at any and all future Saint George Cicero services and/or events may increase my risk of exposure to or infection from COVID-19.

·        I understand that exposure to COVID-19 could result in my contracting COVID-19 and that I may transfer it to all members of my family. I further understand that such exposure to COVID-19 could result in, among other things, infection and personal injury, illness, permanent disability, and/or death.

·        I understand that the risk of becoming exposed to COVID-19 at Saint George Cicero may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Saint George Cicero’s clergy, staff, officers, agents, volunteers, employees, representatives, parishioners, and other participants.

·        I understand and voluntarily agree that I hereby release, covenant not to sue, discharge, hold harmless, and waive all liability against Saint George Cicero for any claims, liabilities, actions, damages, costs, or expenses of any kind arising out of or relating thereto.

·        I understand and agree that this document releases any and all Claims based on the actions, omissions, or negligence of Saint George Cicero’s clergy, staff, officers, agents, volunteers, employees, and representatives, if I contract or am infected by COVID-19 during and/or after participation in any and all future services and/or events at Saint George Cicero.