Covid-19 Screening Questionnaire
Please fill in this form if you are attending church.
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Name and Surname (all in family if more than one please) *
Number of people in your group *
Date on which you're coming to the church service *
MM
/
DD
/
YYYY
Contact number *
I understand that attending a gathering of people is a health risk during the pandemic and I acknowledge that I take full responsibility for my attendance, absolving Hope Ridge Church of liability. I will also ensure that I social distance and wear my mask at church at all times. *
I grant my permission for Hope Ridge Church to collect, store and process the personal information on this form for Covid-19 compliance and for church-related communication. (No information will be shared with 3rd parties). *
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