- Fever (100.4 degrees or higher)
- Sore throat
- New cough
- New shortness of breath
- New muscle aches
- Diarrhea
- Headache
- Unexpected loss of taste or smell

- Been in contact with someone diagnosed with COVID-19?
- Been notified that you may have been exposed to someone with COVID-19?
- Traveled internationally or to a highly impacted area within the United States in the past 14 days.

- I will wear a face mask/covering while in the building.
- I will practice 6’ social distancing while in the building.
- I will use the hand sanitizer when entering the building.
- I will allow a volunteer to take my temperature when entering the building.

 I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I further acknowledge that St. Patrick Church of Merna has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that St. Patrick Church of Merna can not guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, parish staff, guests, and other parishioners and their families.

I voluntarily seek to use facility space provided by St. Patrick Church of Merna and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures (wearing of masks, following social distancing, etc.) to reduce the spread while attending my meeting, event, gathering, and/or small group.

I understand that this release discharges St. Patrick Church of Merna from any liability or claim that I, my heirs, or any personal representatives with respect to any illness, medical treatment, or contraction of COVID-19 that may arise from or in connection with my activities at St. Patrick Church of Merna. This liability waiver and release extends to the Parish altogether with all employees, staff, trustees, and volunteers.