Single Group Member COVID-19 Waiver Submission Page ONLINE

Single Group Member COVID-19 WAIVER, AND RELEASE Online

"*" indicates required fields

Name*

Prefix First Last

Age*

Your Cell Phone Number*

Your Email Address*

Enter Email Confirm Email

The Church of Your Group*

Your Group Coordinator's Name*

Prefix First Last

Trip Coordinator's Email Address*

Enter Email Confirm Email

Group Church's Address

City State / Province / Region ZIP / Postal Code Country

Your Group's Priest Name*

Prefix First Last

Group's Date of Arrival*

Group's Date of Departure*

COVID-19 Waiver

COVID-19 ASSUMPTION OF RISK, WAIVER, AND RELEASE	Actions

There are no Waivers, Releases, and Indemnifications.

⇑

CLICK HERE TO ADD A WAIVER

BEFORE SUBMITTING THE APPLICATION

Please note, you will also receive a confirmation containing these details to your email. Thank you.

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