*EVERYONE IS REQUIRED TO WEAR A MASK IN THE BUILDING AND MAINTAIN SOCIAL DISTANCING. Name Phone Email 1). Have you, or has any one in your family/group who will be attending service in person, had fever, soar throat, gastrointestinal problems or other flu like symptoms, cough, or new loss of taste or smell within the past 48 hours? Yes No 2). Have you, or has any one in your family/group who will be attending service in person, been in close physical contact with someone who has tested positive for COVID-19 within the past two weeks? Yes No 3). Have you, or has anyone in your family/group who will be attending service in person, travelled internationally within the last ten days? Yes No If you answer “yes” to any of the above three questions, please join us online for service; if you answer “no” to all the above questions, please continue to fill out this form How many people should we plan for in your family/group who will be attending service in person? Submit
