COVID-19 Waiver

Please read and complete the following for each person.

Hebron Baptist Church, Dacula, GA

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 reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death.

Hebron Baptist Church cannot prevent you and/or your child from becoming exposed to, contracting, or spreading COVID-19 while participating in Hebron Baptist Church’s ministries or using its premises. It is not possible to prevent the presence of the disease. Therefore, if you choose to participate and/or allow your child to participate in Hebron Baptist Church’s ministries and/or enter onto Hebron Baptist Church’s premises you may be exposing you and your child to and/or increasing the risk of contracting or spreading COVID-19.

ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to participate in Hebron Baptist Church’s ministries and enter Hebron Baptist Church’s premises. These ministries are of such value to me and/or to my child, that I accept the risk for me and/or my child of being exposed to, contracting, and/or spreading COVID-19 in order to participate in Hebron Baptist Church’s ministries in person.

WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against Hebron Baptist Church and its , officers, ministers, directors, managers, officials, trustees, agents, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to participating in Hebron Baptist Church’s ministries and coming on their premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

CHOICE OF LAW: I understand and agree that the law of the State of GEORGIA will apply to this contract.

Child's Name:
Child's Birthdate:
I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release for me and/or my child.
*I am at least 18 years old. I have carefully read and fully understand all provisions of this release, and freely and knowingly assume the risk for me and/or my child and waive my rights concerning liability as described above.
By selecting "I Agree” on the previous statements and entering my full name, I recognize that this is equivalent to my legal signature.
*Full Name:
*Today's Date: