Health Acknowledgement Form

Must be filled out before attending an in-person gathering at Mount Olivet.

This Health Acknowledgement Form (HAF) is part of the Virginia plan and procedure for returning the conference to in-person worship and gatherings with the safety of all in mind.


  • You must have previously registered your attendance with the event leader or received permission from a staff person to enter the Mount Olivet premises.
  • The HAF will be emailed to the senior pastor who will keep it in a secure location. The HAF will expire after seven calendar days and you will need to fill out a new form after that time.