PPO Risk Management Form Risk Management Form Chairperson of event * Full name of person completing this form Chairperson of event Email * Co -Chairperson of event * Full name of person completing this form Chairperson of event Email * Event Name * Program / Event Date * Program / Event Time * 121234567891011 : 00153045 AMPM How many participants Run of show (include time, set up, point of contact) * COVID Safety Kit at the program/event (must include face masks, hand sanitizer, gloves & sanitized wipes) Who will be responsible for bringing the COVID Safety Kit? * Event Safety Plan: (detail how the committee will mitigate COVID-19 and other risks) * Below are all the safety protocols that must be adhered to at all times for review. Social Distancing Waiver Release must be linked to the registration for the program/event COVID test within 72 hours of the program/event The COVID test must be a PCR or antigen test. Home tests are not acceptable. Any food or beverages served, including water, must be pre-packaged, and served to go. All sorors and participants must be fully vaccinated All participants must wear a surgical mask and may wear a cloth mask on top of the surgical mask If you need any supplies for the COVID Safety Kit please email [email protected]. Upload photo and/or video here Drop a file here or click to upload Choose File Maximum upload size: 5MB This content has been finalized and approved by the point of contact and chapter president * No In Progress Yes reCAPTCHA If you are human, leave this field blank. Submit
