Registration for Worship

Date for request to worship

Names of who will attend worship (please list to make it easier to see how many)

Address

Cell phone number

Safety of our church family is paramount. If you answer yes to any of the following questions, please do not register or attend in-person.

Are you experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, a fever (temp of 100 or greater), chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell?

Have you traveled to a designated "hot state", or internationally, in the last 14 days?

Have you been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19?

Have you been diagnosed with Coronavirus/COVID-19 and not yet been cleared as non-contagious by state or local public health authorities?

Name

You are more than welcome to attend worship services if you are following all CDC recommended guidelines, as much as possible, ad limiting your exposure to the Coronavirus/COVID-19. Families will, of course, be able to sit next to each other.