NCF · 2022 COVID-19 Waiver Form

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NCF Covid-19 Rules

Please read and agree to the following physical distancing rules applicable to volunteers working at the Needham Community Farm. The rules will govern volunteer activities on the farm until further notice and may be modified from time to time.

We recognize that the Covid-19 guidelines may change at any time. If the rules are modified, you will receive a copy of modifications directly and they will be posted at the farm. The rules are:

I agree that I will not come to the farm if I am sick or showing symptoms of any form of transmissible disease.

*

Yes

No

Needham Community Farm Mask Policy

If you are fully vaccinated you do not need to wear a mask, but you are welcome to wear one if you prefer.
If you are not fully vaccinated, please continue to wear a mask when others from outside your household are within 6 feet of you (ie working in a bed next to you).
Children 5 years of age and younger do not need a mask.
When gathering in groups to receive instructions, we will continue to stay 6 feet apart from people not in our households, masked or not.
Please respect everyone's individual comfort level and bring a mask with you to the farm.
If you are feeling any symptoms of Covid please stay home, regardless of vaccination status.

I have read the above Needham Community Farm Mask Policy and agree to wear a face covering (cloth mask, bandana, or other) as required.

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Yes

No

I agree that I will maintain at least 6 feet of distance from others outside my household.

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Yes

No

I agree that if I have exposure to a confirmed or possible case of COVID-19, I will not come to the farm until completing 10 days of self-quarantine without showing symptoms.

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Yes

No

I agree that I will follow all instructions and directions from Needham Community Farm employees.

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Yes

No

I agree to notify the Needham Community Farm if I test positive for COVID-19 within 10 days after volunteering on the farm.

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Yes

No

Having read the above rules, I hereby agree to follow them when volunteering at the Needham Community Farm. I acknowledge that it is impossible to eliminate all risk of disease transmission, and that I assume responsibility for this risk. By entering my name and today's date below, I am submitting an electronic signature for this agreement.

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2022 COVID-19 Waiver Form

Contact Information

Please read and agree to the following physical distancing rules applicable to volunteers working at the Needham Community Farm. The rules will govern volunteer activities on the farm until further notice and may be modified from time to time.

We recognize that the Covid-19 guidelines may change at any time. If the rules are modified, you will receive a copy of modifications directly and they will be posted at the farm. The rules are:

If you are fully vaccinated you do not need to wear a mask, but you are welcome to wear one if you prefer.

If you are not fully vaccinated, please continue to wear a mask when others from outside your household are within 6 feet of you (ie working in a bed next to you).

Children 5 years of age and younger do not need a mask.

When gathering in groups to receive instructions, we will continue to stay 6 feet apart from people not in our households, masked or not.

Please respect everyone's individual comfort level and bring a mask with you to the farm.

If you are feeling any symptoms of Covid please stay home, regardless of vaccination status.