Summer Retreat Participants:
PLEASE COMPLETE SURVEY/AGREEMENT BELOW

Survey/Agreement:
COVID-19 Precautions for the
Be Here, Be Well Summer Retreat
with Linda Meacci
(Aug 26-29, 2021)

For the safety and health of all at the Be Here, Be Well Summer Retreat in Everett, PA on August 26-29, 2021, Linda and Bob (the event organizers) ask that, prior to arrival at the retreat venue, each participant either (1) be fully vaccinated against COVID-19; or (2) be tested for COVID-19 on or after August 24, with a negative test result.

If you test positive for COVID-19, you should notify Linda and Bob and NOT attend the retreat (a refund will be issued).

Survey/Agreement -- COVID-19 Precautions for Linda's Summer Retreat (Aug 26-29, 2021)

For the safety and health of all at the Be Here, Be Well Summer Retreat in Everett, PA on August 26-29, 2021, Linda and Bob (the event organizers) ask that, prior to arrival at the retreat venue, each participant either (1) be fully vaccinated against COVID-19; or (2) be tested for COVID-19 on or after August 24, with a negative test result (no COVID). *If you test positive for COVID-19, you should notify Linda and Bob and NOT attend the retreat (a refund will be issued).

PLEASE COMPLETE ALL SECTIONS BELOW. THANK YOU

Name

First Name

Last Name

Email

I agree that, prior to arriving at the retreat venue for the Be Here, Be Well Summer Retreat on August 26-29, 2021, I will (select one):

Be fully vaccinated against COVID-19

Be tested for COVID-19 on or after August 24 and receive a negative test result (no COVID-19). If I test positive for COVID-19, I will notify Linda and Bob and NOT attend the retreat (and I will be issued a refund).

Comments

SUM21 Covid Survey

Survey/Agreement:COVID-19 Precautions for theBe Here, Be Well Summer Retreatwith Linda Meacci (Aug 26-29, 2021)

Survey/Agreement:
COVID-19 Precautions for the
Be Here, Be Well Summer Retreat
with Linda Meacci
(Aug 26-29, 2021)