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Registration for In-Person Service Church Service at Shiloh
This screening tool is intended to help determine if a member or visitor is in good health (e.g., does not have COVID-19) prior to attending an in-person church service or event. It will also help us keep record of those who attend, should we need to provide information in the event of community spread of COVID-19.
* Indicates required question
DATE OF ATTENDANCE: Saturday, April 30, 2022
I am a...
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member of Shiloh Seventh-day Adventist Church
first-time visitor
regular visitor
I will be leading out and/or assisting with the church service today (e.g., part of the Deaconate, A/V Team, praise team, platform party, etc.)
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Yes
No
MAIN CONTACT INFORMATION
Full Name (First and Last)
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Your answer
Phone Number:
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Your answer
Email Address:
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Your answer
INCLUDING YOURSELF, please tell us how many people will be attending this in-person service:
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Choose
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8
INCLUDING YOURSELF, please tell us the FIRST and LAST NAME of each family member or friend that will attend this in-person service.
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Your answer
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