Dispensations provide approval for a ministry unit to hold a worship service, gathering, run a programme, or event (green only) where verification of My Vaccine Pass is not a requirement to participate. Dispensations are approved by your Archdeacon on behalf of the Bishop of Auckland.

You will be required to provide a Safety Plan using the diocesan Safety Plan template (you can find the template here).

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* 1. Contact Information

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* 2. Current COVID Protection Framework Level

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* 3. Gathering/Event Type
Please confirm the type of gathering/event

Under the protection framework a gathering is defined as:
• a group of people who are intermingling.
Services at a place of worship, or a prayer group in an individual’s home are an example of a gathering.

An event is defined as an activity organised by a business or service:
• that takes place at a commercial or private indoor or outdoor premises or a publicly owned premises hired for that purpose
• that has controlled access of customers or clients via ticketing, fee paying on premises, registration, or other practicable means of controllable entry
• unless that activity is an outdoor community event or a gathering.
Ticketed concerts held at places of worship are an example of an event.

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* 4. Gathering / Event name

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* 5. Number expected at gathering/event (participants) 
Must be within framework requirements Red – 25, Orange – 50, Green – 100

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* 6. Number of team members at gathering/event.
Counting all clergy, staff and volunteers required to be present at the gathering/event, how many will that be in total

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* 7. Frequency

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* 8. Day/Time for one-offs only

Date
Time

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* 9. Venue/Location

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* 10. Venue/Location

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* 11. Any other comments?

Application Questions

All questions are pertaining to the gathering/event applied for in this application.

Consider each of the following questions based on your COVID-19 Safety Plan and other decisions your Unit has made and tick the response. There is only one response available; if your response differs from that which is available, a dispensation will most likely not be granted; please revisit your Safety Plan and assess if you are able to adjust the management of your gathering/event to comply with the requirements of the dispensation.

To enable the following questions to be presented in a simple form “gathering/event” has been used as a general term to encompass all types of gatherings including worship services, weddings, funerals, baptisms, groups meeting, programmes, events (green only), etc.

NB: This application only deals with one risk being the risk of exposure and transmission of COVID-19 where verification of My Vaccine Pass is not a requirement to participate in a gathering/event. There will be other risks associated to holding a gathering/event (of any type) that will need to be considered, and those should be managed by a separate plan and internal processes.
CHECKLIST

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* 12. The following are in support of holding this gathering/event without requiring My Vaccine Pass:
•  Minister in Charge or LSMU MST
•  Governing Body
•  Staff and volunteers who will be involved

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* 13. The team working at the gathering/event will be briefed on how to manage the general COVID-19 health restrictions for gathering/events

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* 14. Clergy, staff and volunteers will be required to wear face coverings and will be able to maintain 1 metre physical distance

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* 15. The number of people attending are within the government COVID-19 Protection Framework (Red – 25, Orange – 50, Green – 100) and we have a plan to manage this to ensure gathering/event numbers are maintained

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* 16. The gathering/event is scheduled to ensure that there would be no cross over (intermingling) with others e.g. in the foyer, on the grounds, in a childcare facility

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* 17. Public health measures will be used to reduce the spread of COVID-19. This includes, where applicable, encouraging the use of face coverings, physical distancing, building ventilation, personal and venue hygiene, and appropriate signage

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* 18. If hospitality is allowed (this depends on the framework level) it will be provided in a safe way, and in accordance with government direction

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* 19. Consideration has been given for the care of vulnerable groups

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* 20. Upload Safety Plan

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
If you wish to hold another gathering/event you must apply for that separately.
OFFICE USE ONLY
My Vaccine Pass – Dispensation Approval

I, [NAME] agree that the My Vaccine Pass dispensation application has considered all COVID-19 related requirements for this gathering/event and a Safety Plan has been developed to manage these in line with government COVID-19 Protection Framework and diocesan requirements and that appropriate consultation with all stakeholders has been undertaken, and I have been given the authority by the Bishop of Auckland to approve this dispensation.

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NAME:

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