Sunday Service Sign Up

February 20th, 2022

If you feel uncomfortable attending or are part of a vulnerable sector of the population please connect to the online stream of the gathering.

We look forward to gathering and worshipping with you in person and online!

Name

First Name

Last Name

Phone number

(###)

###

####

Number of people attending (including you)

Names of people attending with you (including kids)

if there are any kids with you, please let us know how old they are so our kids ministry leaders can plan appropriately. Thanks!

Attendance waiver

I hereby acknowledge that I have agreed to attend/participate/serve on behalf of or have my child attend/participate/serve on behalf of: UNA Church (the “Organization”) at the Kingsdale Community Centre or 54 Benton Street (the “Facility”). I acknowledge and accept that there is a risk that I could be exposed to COVID-19 while attending at the Facility. I also acknowledge and accept that while attending services or gatherings, I may be exposed to the COVID-19 virus without the knowledge of the Organization. I acknowledge and confirm that I am willing to accept this risk as a condition of attending/participating in gatherings or services at the Facility provided by the Organization. I agree to release the Organization and the Facility (if applicable), their officers, directors, employees, agents and volunteers (the “Releasees”) from any and all causes of action, claims, demands, requests, damages or any recourse whatsoever in respect of any personal injuries or other damages which may occur or arise as a result of exposure to COVID-19 during my visit to the Facility and/or through the provision of services to me by the Organization I do hereby acknowledge and agree that notwithstanding the generality of the foregoing, I declare that I will not commence litigation or otherwise seek to recover damages or other compensation against the Releasees based on any action, claim, demand, request, loss or any recourse whatsoever arising from any potential or actual exposure to COVID-19 while attending at the Facility and/or through the provision of services to me by the Organization. I further acknowledge that the Releasees can rely on this Release of Liability, Waiver of all Possible Claims and Assumption of Risk as a complete defence to any and all claims, damages, causes of action, or recourse or liability that may arise at any time. I have carefully reviewed this Release of Liability, Waiver of all Possible Claims and Assumption of Risk and acknowledge that I fully understand the terms as set out above. I acknowledge that I am signing this Release of Liability, Waiver of all Possible Claims and Assumption of Risk voluntarily.

Yes, I agree.