Loading...

This assessment and waiver is required for participation in REEF events during the COVID-19 pandemic.

In order to help prevent the spread of COVID-19 and promote the well-being of all participants, everyone is required to complete this personal health status/medical history survey prior to participating in an in-person REEF event or prior to boarding a vessel as part of REEF activities. 

As of September 1, 2021, all REEF Project attendees (incl Field Survey Trip, AAT Projects, and other event) who are eligible to be vaccinated for COVID-19 either need to be fully vaccinated for COVID-19 prior to participation or comply with additional safety measures (outlined on the REEF Trip Policies webpage) in order to participate. Full vaccination is 14 days past the final dose of a COVID-19 vaccine, such as a two-dose vaccine (e.g., Pfizer, Moderna) or a one-dose vaccine (e.g., Johnson & Johnson).

If you are aware of being in close contact (within 6 feet) with someone who has recently tested positive for COVID-19, watch for symptoms for 10 days after you last had close contact. Even if you don’t develop symptoms, get tested at least 5 days after you last had close contact with someone with COVID-19 and prior to joining in the REEF event. You are not permitted to participate in REEF events if you have been in close contact with someone who is COVID positive in the last 5 days.

If you have recently tested positive for COVID-19, you are not permitted to participate in REEF events until a full 10 days after your symptoms started or the date your positive test was taken if you had no symptoms.

Participants of in-person programs will be strongly encouraged to wear a face mask at all times while indoors and while outdoors when social distances cannot be maintained. Participants boarding a vessel will be encouraged to wear a face mask at all times while boarding and onboard the vessel, except when in the water (and follow all rules of the vendor). 

Attendees of REEF Field Survey Trips and other in-person events are strongly encouraged to test for COVID-19 prior to traveling to the destination and 4 days after arrival.

By signing this form, you confirm that you have read the conditions and policies and have answered the health screening question to the best of your ability.

I understand the information is being gathering to help prevent the spread of COVID-19 and will answer the questions to the best of my ability. I will update REEF if my responses to any of these questions change between the time I submit the form and the start of my REEF in-person event.

January 15, 2025

First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Event Details

What event are you participating in that requires this waiver? *

What is the start date of the event that requires this waiver? *
Health Assessment
Have you currently or within the past 10 days exhibited any of the following COVID-19 symptoms that is new or unexplained in accordance with the Centers for Disease Control? These include: Fever (temperature of 100+ degrees) -- Cough -- Shortness of breath or difficulty breathing -- Fatigue -- Chills or repeated shaking -- Muscle or body aches -- Nausea or vomiting -- Headache -- Congestion or runny nose -- Sore throat -- Loss of taste and smell -- Diarrhea. If yes, you are advised to test for COVID-19 and contact your physician for assessment.*
No
Yes
I agree to inform REEF if I experience any of the symptoms outlined in the previous question during the program or within 5 days before the program.*
Yes
No
Have you tested positive for COVID-19 in the last 10 days? If yes, you are not permitted to participate in REEF events until a full 10 days after your symptoms started or the date your positive test was taken if you had no symptoms.*
No
Yes
Have you been in close contact (within 6 feet) with someone who has recently tested positive for COVID-19?*
No
Yes
If you answered yes to the previous question, do you agree to: 1) watch for symptoms until 10 days after you last had close contact, 2) complete a COVID-19 test at least 5 days after you had close contact, even if you don't develop symptoms, 3) understand that you are not permitted to participate in REEF events if you have been in close contact with someone who is COVID positive in the last 5 days?*
Yes
No
N/A
I understand that if I do exhibit symptoms during the REEF activity or within 5 days prior to the program start, I will not be able to participate / continue to participate in the REEF activity until I have tested negative for COVID-19. I understand I am not eligible for any refunds or credits for missed activities.*
Yes
No
I understand that REEF event participants may have an infrared thermometer temperature check prior to participating in an in-person REEF event or prior to boarding a vessel as part of REEF activities. If I do not consent to the temperature check, or present with a temperature of 100+ degrees F or more, I understand that I will not be able to participate and/or board the vessel and will not be eligible for a refund of any fees paid.*
Yes
No
I understand that during the REEF event I will be strongly encouraged (or required depending on local rules) to wear a face mask at all times while indoors and while outdoors when social distances cannot be maintained. And I agree to comply with testing for COVID-19 during the REEF event if requested.*
Yes
No
Pre-existing Conditions
Please note that the following pre-existing conditions are risk factors that may increase the severity of COVID-19 symptoms: • Older adults-People 65 years and older • People who live in a nursing home or long-term care facility • People of any age who have serious underlying medical conditions, especially if their medical condition is not well controlled, including:  Chronic Lung Disease  Moderate to Severe Asthma  Heart Conditions  Compromised Immune System  Severe Obesity-Body Mass Index (BMI) ≥40  Diabetes  Chronic Kidney Disease or Individuals Undergoing Dialysis  Liver Disease Anyone meeting one or more of the above pre-existing conditions is encouraged to discuss risks with their health professional prior to participation. *
I have read and understand these risks.
COVID-19 Vaccination Status and Testing
Have you received the COVID-19 vaccine? *
Yes, I am fully vaccinated and have received at least one booster.
Yes, I am fully vaccinated (or will be prior to the start of the REEF event).
Yes, I have received the first dose of a two-dose vaccine and will receive my second dose as scheduled (which might not be 2 or more weeks prior to the start of the REEF event).
I am not yet vaccinated but I intend to receive the vaccine either through an already scheduled appointment or when I am eligible and the vaccine becomes available.
No, I am not vaccinated.
I prefer to not say.
I agree to testing for COVID-19 prior to traveling to the destination of the REEF event, regardless of my vaccination status or requirements of the destination country?*
Yes
No
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!