Mask Waiver

Organization Name *

Address, Township, State, Zip *

Email *

I understand these masks are not CDC compliant *

I agree

The Hospital understands it is not the responsibility of CRM or it's volunteers to disinfect the masks. The Hospital takes full responsibility for disinfecting masks delivered from CRM or its volunteers and hold CRM and its volunteers harmless from any liability involving masks created by CRM and/or its volunteers. *

I agree

I understand that I am responsible for disinfecting the masks I receive *

I understand

Phone number of contact person *

Signature of Person Requesting the Masks *

First

Last

By entering my name I take responsibility for all the information submitted above. By entering my name I also acknowledge that my hospital knows and understands that CRM is not a certified mask company and CRM cannot be held liable for any faulty masks. My hospital also knows and understands that it cannot hold any volunteer for CRM liable. My hospital knows and understands that it cannot hold liable any other organization working with CRM to produce these masks.

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Naomi

My name is Naomi Fata. I'm a sewing entrepreneur offering the local community bridal alterations and custom slipcovers, while teaching sewing as a life skill in the online space. In addition to sewing I write God’s Corner for the local newspaper and am passionate about inspiring others to find ways to use their God given gifts in their circle of influence. I am the author of Beyond Head Knowledge: Knowing Christ Who Satisfies Our Hearts and am the creator of two sewing themed journals. My husband and I reside in upstate New York, and homeschool their three children.

Christian Resource Ministry

Mask Waiver

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