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St Stephens 8:30am 18 October 2020
Welcome! We are looking forward to seeing you at St Stephens on Sunday.
Please do not come if you are feeling in any way sick or compromised.
As per government regulations, please fill in one form per person attending - this includes infants and children
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* Indicates required question
Government regulations require churches to perform basic Covid-19 screening before allowing people access into their buildings.
Are you experiencing any of the following symptoms? Fever, Cough, Body Aches, Nausea or Vomiting, Sore Throat, Shortness of breath, Loss of taste and smell, Diarrhea, Fatigue/ Weakness/Tiredness?
*
Yes - Please note that you should isolate and seek healthcare advice if you are experiencing these symptoms.
No
I understand that my visit will potentially expose me to people who might be carriers of Covid-19. I understand the risk I am personally taking by entering the building and taking part in the service. I will not hold St Stephens Bible Church, their staff, the church council or REACHSA liable for any infection or illness that occurs as a result of my attendance.
*
Yes
Required
I understand that I will be required to wear a mask throughout the service. I also understand that I will be required to keep to social distancing guidelines.
*
Yes
Required
Who is attending the service?
First Name
*
Your answer
Surname
*
Your answer
Cell Number
*
Your answer
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