In-Person Services

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 Temple Beth Sholom has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.

I further acknowledge that Temple Beth Sholom cannot 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, Temple clergy and staff, and others that may be utilizing the Temple building and facilities.

I am voluntarily entering the Temple building and seek services provided by Temple Beth Sholom 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 to reduce the spread while at the Temple Beth Sholom building and utilizing its facilities.

I attest that:

  • I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
  • I have not traveled internationally within the last 14 days.
  • I have not traveled to a highly impacted area within the United States of America in the last 14 days.
  • I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19 within the last 30 days.
  • I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.
  • I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

I hereby release and agree to hold Temple Beth Sholom harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Temple Beth Sholom, or that may otherwise arise in any way in connection with any services received from Temple Beth Sholom, its clergy or staff, related to Coronavirus/COVID-19. I understand that this release discharges Temple Beth Sholom, its clergy and staff from any liability or claim that I, my heirs, or any personal representatives may have against Temple Beth Sholom, its clergy and staff with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Temple Beth Sholom, its clergy and staff, related to Coronavirus/COVID-19.

**PLEASE NOTE that if you are registering a couple, each person must submit a separate registration. 

In-Person Services: Saturday, 11/28/2020 - 9:30 AM