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Covenant for Regathering in Worship

In response to the COVID-19 pandemic, I promise, with God’s help and to the best of my ability, to abide by the guidelines of the Diocese of Washington for participation in the life of my congregation according to the regathering phase in which my congregation is authorized to carry out its mission and ministry.

In fulfillment of our Baptismal Covenant, I will strive to:

Love my neighbor as myself

  • Wear a mask or scarf over my nose and mouth at all times in church buildings, except momentarily to receive the sacrament or lead worship through an assigned speaking part.
  • Only attend worship and receive communion if I am healthy and non- symptomatic with the novel coronavirus or any other transmittable disease that could compromise the health of another congregant;

Respect the dignity of every human being

  • Make no physical contact with people beyond the members of my own household.
  • Maintain a six-foot or more distance from others in the congregation.
  • Respect any requests for distance, masking, cleaning, to ensure the safety and comfort level of others, even as restrictions are reduced.

Seek and serve Christ in all people

  • Trust and support the decisions of our congregational leaders.
  • Stay connected with others in my community by telephone, email, video chat, or mail.

 

Dated: April 18, 2021

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
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*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Email*

Confirm Email*
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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
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.


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