All people attending an event sponsored or organized by Knox Church during the time of COVID-19 restrictions must complete and submit this form at the bottom of this page in advance of the event. By doing so, you agree that you will observe safety practices as directed by the State of Ohio and local governments and health authorities. This includes the wearing of a mask at all times and keeping a distance of six feet from other individuals and/or family groups. You understand that if you do not observe these practices you may be asked to leave the event.

Complete guidelines for hosting/attending an outdoor event at Knox may be found here.

ONLY ONE COMPLETED FORM PER HOUSEHOLD PER EVENT IS NEEDED. FOR CHILDREN AND YOUTH UNDER THE AGE OF 13, THE FORM MUST BE COMPLETED BY A PARENT OR GUARDIAN.

THIS FORM MUST BE COMPLETED EACH TIME YOU ATTEND ANY KNOX-SPONSORED EVENT. (FOR EXAMPLE, COMPLETE THE FORM IN ADVANCE OF EVERY TIME YOU ATTEND CHOIR PRACTICE.)

FORMS MUST BE COMPLETED WITHIN 72 HOURS OF THE START OF THE EVENT.

IF YOU OR A MEMBER OF YOUR HOUSEHOLD BEGINS TO EXPERIENCE SYMPTOMS OF CORONA VIRUS WITHIN TWO WEEKS OF ATTENDING A KNOX EVENT, PLEASE NOTIFY A KNOX PASTOR.

IF YOU ANSWER 'YES' TO EITHER OF THE FIRST TWO QUESTIONS, PLEASE DO NOT ATTEND THE EVENT.  (What do COVID symptoms look like? Click here.)

By clicking SUBMIT below, you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending the event you and any guests voluntarily assume all risks related to exposure to COVID-19.  All items with an asterisk are required to be completed.