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Mask Waiver Application for Educational Facilities

  1. cra logo jpg

  2. Mask Waiver Application for Educational Facilities

  3. CONTACT INFORMATION

  4. Authorized Signee/Owner

  5. EDUCATIONAL FACILITY INFORMATION

  6. Disclaimer

    Applicant must also provide a written summary of the processes, protocols and physical improvements made to reduce the risk of spread of the COVID-19 Coronavirus. Please provide images of the physical improvements as part of this application. By signing this application, the applicant is affirming that all information in this application is true and accurate.

  7. Notary Stamp and Signature

  8. Leave This Blank:

  9. This field is not part of the form submission.