COVID WAIVER TEMPE COMMUNITY CENTER .DOC

City of Tempe 
Westside Multigenerational Center
715 W. 5th St. 
Tempe, AZ 85281
480-858-2466
www.tempe.gov/westside
WESTSIDE MULTIGENERATIONAL CENTER
COVID-19 FACILITY AGREEMENT ADDENDUM
Tempe Parks & Recreation has developed a set of criteria by which requests for meeting space in Tempe 
facilities will be evaluated and granted based on the availability of space that will accommodate group 
size requesting space. Limits on group size may change along with the changing environment of the 
COVID-19 pandemic. Groups granted permits for use of City facility space will be required to abide by 
the following requirements and restrictions:

Stay home if you are sick.

Temperature checks may be required. If the temperature reading is 100.4 degrees or higher, the 
individual will be asked to step aside for 5 minutes to have the temperature taken again. If the 
temperature reading is still above 100.4 degrees, the individual(s) will not be permitted to 
attend. 

Additional symptom screening may be required.

Wash hands often, especially after leaving with soap and water for 20 seconds. If soap and 
water are not available, use an alcohol-based hand sanitizer that contains at least 60% alcohol.

If you are at higher risk for severe illness, you should avoid visiting public facilities.

The permittee understands that there will be limits on the size of the group allowed to use the 
meeting space and that those limits will be enforced by city staff. 

A Covid-19 waiver of liability must be signed by the Responsible Party requesting a Facility Use 
Permit and included with the Room Reservation Request application. 

Face masks covering the nose and mouth are optional.  
I have read, and agree to, the permit requirements and restrictions for all reservations at The Westside 
Community Center. (Must be signed by the Responsible Party on the Permit Request)
Angelica Penuelas
Print Name
       
12-20-22
Signature 
Date