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RTAOG In-Person Registration
Registration for Persons attending our In Person Services.
Only One Form for Family
(Each Family Member attending Must Fill Out RTAOG Covid-19 Survey)
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* Indicates required question
As we invite you to return to in-person services, we want you to know that this is your decision to make. Therefore, we would respect whatever choice you make.
Thank You.
Name
*
Your answer
Untitled Title
Email
*
Your answer
Phone Number
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
1. Are you 65 YRS or older and/or have underlying conditions?
*
Note: *If you are 65 years and older, or have underlying conditions, the CDC advises that you do not attend church in this time of COVID 19.
Yes
No
2. Which Service will you attend?
*
8:00AM
11:30AM
Both
Required
3. Please indicate the date of the Service you will be attending.
*
MM
/
DD
/
YYYY
4. Will You be attending service alone?
*
Yes
No
5. (If you answered no to the previous question) How many people in your family will be attending in addition to you?
*Each family member attending must fill out RTAOG Covid-19 Survey.
1
2
3
4
5
More than 5
6. Please list the name of every family member attending.
*Each family member attending must fill out RTAOG Covid-19 Survey.
Your answer
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