Rehobeth Kids Worship Check-In

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Welcome to Kids Worship! Please check your child in each week using the form below.

Today's Date *

1/23/22

Other:

Child's First Name *

Child's Last Name *

Name of adult contact in worship this week *

Adult contact phone number *

Health Screening *

By checking "Yes" below, I attest that to the best of my knowledge, my child has not recently tested positive for COVID-19, has not been exposed to anyone with COVID-19, and is not exhibiting symptoms of COVID-19 including fever, sore throat, difficulty breathing, new or worsening cough, new loss of taste or smell, diarrhea or vomiting, new onset of severe headache

Yes

No - please join us for worship from home this week!

Is this your first time with us? *

Please select yes if this is your first time checking in for Kids Worship this year, so we can collect important contact and allergy information. We're glad you're with us!

Yes

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