Pastoral Visit Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Pastoral Visit Form

This short form allows us to keep track of pastoral visits. It is not required by law, but helps us if contact tracing is required following a visit. For this form to be of value, please ensure that you have filled in the once-off Contact Tracing Information form as well.

Which are you? *

Please fill in your name *

Describe any symptoms, if any. By leaving this blank, you declare that you do not present with observable COVID-19 symptoms, namely fever, cough, sore throat, redness of eyes, or shortness of breath/difficulty in breathing, nor do you present with additional symptoms, including body aches, loss of smell/taste, nausea, vomiting, diarrhoea, fatigue, weakness or tiredness.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms