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1
Registration and completing a screening questionnaire is required every time you attend Sunday service. The form needs to be completed between Friday or Saturday before attending Sunday service. Please take a few minutes to complete the questionnaire.
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2
Click if you plan to attend Sunday service in person.
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June 6th 10am, 2021
June 13th 10am, 2021
June 20th 10am, 2021
June 27th 10am 2021
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3
Number of people planning to attend in person service including children.
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4
Please enter your name and contact information below for our reporting record.
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5
Name
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First Name
Last Name
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6
Contact Email Address
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7
Contact Phone Number
Please enter a valid phone number.
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8
Covid-19 Screening Questions
You CANNOT participate in in-person worship if you, or anyone in your family unit living with you answers YES to any of these questions:
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9
If you have answered yes to any of the Covid questions, please plan to attend services when you can answer no to all questions. Thanks for your understanding to keep eveyone safe.
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10
Covid-19 Screening Questions
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Yes
No
1. Does anyone in your group have fever greater than 99.5 F?
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2. Has any one in your group experienced shortness of breath or had trouble breathing?
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3. Does anyone in your group have a dry cough?
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4. Does anyone in your group have a runny nose?
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5. Has anyone in your group recently lost or had a decrease in your sense of taste or smell?
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6. Does anyone in your group have a sore throat?
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7. Has anyone in your group tested positive for Covid-19?
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8. Has anyone in your group tested for Covid19 and are waiting for the test results?
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9. Has anyone in your group been in contact with anyone tested positive for Covid-19?
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10. Has anyone in your group been in contact with anyone tested for Covid-19 who is waiting for Covid -19 test results?
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1. Does anyone in your group have fever greater than 99.5 F?
2. Has any one in your group experienced shortness of breath or had trouble breathing?
3. Does anyone in your group have a dry cough?
4. Does anyone in your group have a runny nose?
5. Has anyone in your group recently lost or had a decrease in your sense of taste or smell?
6. Does anyone in your group have a sore throat?
7. Has anyone in your group tested positive for Covid-19?
8. Has anyone in your group tested for Covid19 and are waiting for the test results?
9. Has anyone in your group been in contact with anyone tested positive for Covid-19?
10. Has anyone in your group been in contact with anyone tested for Covid-19 who is waiting for Covid -19 test results?
Yes
Row 0, Column 0
No
Row 0, Column 1
Yes
Row 1, Column 0
No
Row 1, Column 1
Yes
Row 2, Column 0
No
Row 2, Column 1
Yes
Row 3, Column 0
No
Row 3, Column 1
Yes
Row 4, Column 0
No
Row 4, Column 1
Yes
Row 5, Column 0
No
Row 5, Column 1
Yes
Row 6, Column 0
No
Row 6, Column 1
Yes
Row 7, Column 0
No
Row 7, Column 1
Yes
Row 8, Column 0
No
Row 8, Column 1
Yes
Row 9, Column 0
No
Row 9, Column 1
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