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BBC Re-Opening Registration Form
All members of the Bronx Baptist Church are being asked to complete this registration form before attending Worship Service.
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* Indicates required question
Please indicate in the spaces below your family/friend who will be accompanying you to the Worship Service.
*
Your answer
Have you experienced any of the following symptoms during the past 10 days:
*
Fever of over 100.4 degrees Fahrenheit
A new cough
Shortness of breath
None of the Above
Required
To my knowledge I/we have not been in close contact with anyone who has COVID-19
Yes
No
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Name
*
Your answer
Date
*
MM
/
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/
YYYY
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