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Tisha B'Av Services RSVP

:Dear Congregant,

In order to accommodate our community safely and comply with social distance regulations, please take the time to fill out the form and waiver letting us know which services you will be attending on Tisha B'Av. Reservations are on a first come first serve basis. We have a limited capacity available due to social distancing guidelines. If we hit capacity, we will contact you via email with an alternate minyan option in the neighborhood.

The form and waiver must be submitted before 3:00 PM on Wednesday 29th, 2020.

The safety of our community depends on you, so please adhere to all conditions and directives.

**Please note there will be no kids program and people over the age of 65 are encouraged to stay at home. Congregants shall assess their own risk knowing their medical history and family members with compromised immune systems**

Thank you so much,

MSS Shul

Please Confirm the Following Statements:
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

       MSS Shul has put in place preventative measures to reduce the spread of COVID-19; however, MSS Shul cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending MSS Shul could increase your risk and your families risk of contracting COVID-19.

    By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending  MSS Shul and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at MSS Shul may result from the actions, omissions, or negligence of myself and others, including, but not limited to, MSS Shul employees, volunteers, and program participants and their families.

    I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my attendance at MSS Shul or participation in MSS Shul programming ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless MSS Shul, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of MSS Shul, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any of the MSS Shul's programs or by improper sanitization or improper enforcement of the reopening guidelines of MSS Shul or the State & County Guidelines.

Please sign above
Please choose which services you wish to attend.

Wed, November 25 2020 9 Kislev 5781