All people planning to attend an event sponsored or organized by Knox Church, including worship at Knox, during the time of COVID-19 restrictions must complete and submit this form at the bottom of this page. 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 while you are on Knox property, inside and outside, 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.

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

YOU ONLY NEED TO COMPLETE THIS FORM ONE TIME, NOT EACH TIME YOU COME TO KNOX.

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.

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.