Dispensations provide approval for a parish or 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 the Bishop of Waiapu.

You will be required to provide a Safety Plan using the diocesan Safety Plan template (click here to find the Safety Plan template on the Waiapu website).

Note:  you must apply separately for each separate event that you wish to hold (unless you are holding the same event on a daily, weekly or monthly basis).

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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 Details

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* 10. Location Details

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* 11. All other comments to add to this application

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* 12. Acknowledgment Checklist:

By checking the boxes of the checklist below you are acknowledging that you will/have fulfilled the requirements for this application and Safety Plan*

*if you have not or are unable to fulfill these requirements, a dispensation application 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.

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* 13. Upload Safety Plan

PDF, DOC, DOCX, JPG, JPEG file types only.
Choose File

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* 14. Acknowledgement for Submission:

In submitting this information, I acknowledge that I have undertaken all required considerations in relation to the COVID-19 framework requirements for this gathering/event.  I acknowledge that an appropriate Safety plan has been developed to manage these in line with the government COVID-19 Protection Framework and Diocesan requirements and that appropriate consultation with all stakeholders has been undertaken.

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