COVID-19 RETREAT GUEST ACKNOWLEDGEMENT AND ASSUMPTION OF RISK

BETWEEN: 
Muskoka Bible Centre Inc. (hereinafter the “MBC”)
8 Pioneer Ave., Huntsville, Ontario, P1H 2J3 (the “Premises”)

-AND-

  1. I agree to abide by the current restrictions and regulations as outlined by the Government of Ontario and/or Ontario Public Health as well as the COVID-19 safety protocols of MBC as published on the MBC Website.

  2. I am not currently experiencing COVID-19 symptoms nor have I had COVID-19 symptoms either in the last 14 days or since receiving a clear COVID-19 test result from the Province of Ontario.

  3. I have not travelled outside of Canada or in an area under a travel health advisory either in the last 14 days or since receiving a clear COVID-19 test result from the Province of Ontario.

  4. I have not provided care or had close contact with any person with COVID -19 or with any person reasonably suspected to have COVID -19 either in the last 14 days or since receiving a clear COVID-19 test result from the Province of Ontario.

  5. I have not been advised by the Government of Canada or Ontario Public Health or my doctor or the Ontario Ministry of Health website to self-isolate due to possible exposure to COVID -19.

  6. I will advise MBC immediately if I, or any person in our party or any person visiting us on the Premises has been exposed to COVID-19 or has contracted COVID-19, and further that I will follow any direction from MBC Management or health authorities as it relates to leaving the Premises or isolating on the Premises as a result of COVID-19 exposure or infection.

  7. I am fully aware of the risks and hazards with respect to COVID-19 inherent in my attendance at MBC and participation in the activities of MBC.

  8. I agree to assume all risks with respect to COVID 19, howsoever arising.

For each adult Attendee, age 18 or older:

 

Adult Attendee #1

Yes

Adult Attendee #2

Yes

Adult Attendee #3

Yes

Adult Attendee #4

Yes

Adult Attendee #5

Yes

COMPLETE THE SECTION BELOW IF YOU ARE A PARENT OR GUARDIAN OF AN ATTENDEE UNDER THE AGE OF EIGHTEEN (18)

 

I am the parent or guardian of the minor(s) named below (the “Minors”). I give my consent for the Minors’ participation in the activities of the MBC and to attend the Premises.  I confirm that the Minors are in compliance and agreement with items 1 through 8 listed above.

Yes