Church Registration
Timing: November 27, 2021
Address: 5301, 50th Ave
Contact us at epicadventist.ca
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Name *
Email Address *
How many in your party including yourself? *
Do you or any of your party have any of the following symptoms which are new or worsened if associated with allergies, chronic or pre-existing conditions: fever, cough, shortness of breath, difficulty breathing, sore throat, and/or runny nose? *
Has anyone in your party returned to Canada from outside the country (including USA) in the past 14 days? *
In the past 14 days, at work or elsewhere, while not wearing appropriate personal protective equipment: Did you have close contact with a person who has a probable or confirmed case of COVID-19?     *
Did you have close contact with a person who had an acute respiratory illness that started within 14 days of their close contact to someone with a probable or confirmed case of COVID-19? *
Did you have close contact with a person who had an acute respiratory illness who returned from travel outside of Canada in the 14 days before they became sick? *
If you answer “YES” to any of the above, you are not permitted to attend church at this time and you must self- isolate. Complete the Self-Assessment Tool at ahs.ca/covid to determine your need for COVID-19 testing. If you answer “NO” to all of the above, you can attend Church.
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