Mocha Moms, Inc. COVID-19 Waiver Signature Form

We hope that everyone is staying safe and healthy during this most unprecedented time and adhering to our very important policy that ALL Mocha Moms events and activities are to be virtual ONLY and not in person (not even socially distanced or from the car) until further notice. I am hoping that most of you have seen my video that outlines the seriousness of what we are all confronting in this era of uncertainty and devastation. It pains us to have to share and reiterate this policy, but your health, safety and well being, and that of your families, is of utmost importance. To that end, and upon the advice of our General Counsel, we are issuing a mandatory waiver that must be read and consented to/signed by each and every member of this organization. All waivers are due by Oct. 31. This is a firm deadline and notice that all members who have not signed the waiver by Nov. 1 will be placed on probationary status, subject to removal by the National Board. No exceptions will be made. We trust that you take this as seriously as we do. We love you and truly look forward to brighter days when we all can be together in person again to enjoy the sisterhood upon which our organization was founded.

Please electronically sign the waiver below.

First Name: *
Last Name: *
Email: *
Your Primary Chapter: *
Your Secondary Chapter *

COVID-19 Waiver
COVID-19 is a deadly pandemic that has affected many Americans. The Centers for Disease Control and Prevention (CDC) has informed the public that the disease is “primarily transmitted from person-to-person through respiratory droplets . . . released when someone with COVID-19 sneezes, coughs, or talks.” To ensure the safety of its members and their loved ones, the National Board of Mocha Moms, Inc. issued a directive on June 6, 2020 that “Due to COVID-19, all chapters must cease all in person events until further notice and continue social distancing.” Accordingly, effective June 6, 2020, until further notice, Mocha Moms, Inc, and its chapter, state, regional, and national leaders shall not be legally responsible in any way for the transmission of the COVID-19 virus alleged by anyone to have occurred during any in-person event or gathering of members of Mocha Moms, Inc.  Please note that this waiver should not be interpreted as giving permission to Mocha Moms, Inc. chapters to sponsor in-person gatherings or events. By agreeing to join Mocha Moms, Inc, you acknowledge that you are aware of, and consent to, this waiver of liability and understand that members could be subject to removal by the National Board for noncompliance.

By electronically signing this form, you acknowledge that you are aware of, and consent to, this waiver of liability and understand that members could be subject to removal by the National Board for noncompliance. *



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