December 19th, 2021 - Individual Registration

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Thank you for your taking time to complete this online service registration. Please fill out the form below, the first part is composed of some COVID health related questions below, followed by your contact information questions. You are requested to remain at home if you have a change in health status –include this in confirmation email.

PLEASE NOTE: You will receive an email either confirming an accepted registration or a declined registration. Only those with an accepted registration will be authorized to attend in-person service. It will be our pleasure to accommodate you in the Sanctuary, balcony, and the upper chapel.

Email *

Which service would you like to attend? Due to capacity, we invite you to select only 1 service. *

10:00am English Service

6:00 pm Bilingual Service

Full Name - First Name, Last Name *

Phone Contact Number *(without dash or spaces) *

How old are you? *

12 years and under

Between 13 and 70 years

71 years and over

Are you scheduled to minister for the service you are registering for? (music ministry, audio, broadcasting, usher, registration, etc)

Yes

Clear selection

I understand and agree to follow required Covid safety guidelines as recommended by Public Health Quebec, (wearing of mask indoors at all times, no physical contact with others, sanitizing hands etc) *

Yes

In the past 14 days, did you experience any of the following symptoms: shortness of breath or difficulty breathing, sore throat, a cough or worsened cough, a sudden loss in smell or taste, have flu-like symptoms (runny nose, headache, muscle pains etc) or a fever (38 C or more), nausea, vomiting or diarrhea? Answer yes or no if ANY of the above applies to you. *

Yes

In the past 14 days, did you: travel outside of Canada? or come in contact with someone who travelled outside of Canada? or test positive for COVID-19? or come into contact with someone who tested positive for COVID-19? Answer yes or no if ANY of the above applies to you. *

Yes

I declare that I have responded honestly to this registration to the best of my knowledge. *

Yes

I understand that I will only be able to attend service if I have received a confirmation email. *

Yes

Do you have any notes, comments or questions?

Note concerning Email Confirmations: If you have not received a confirmation email by Saturday afternoon, you can reach out to the registration team directly or send an email to info@upcsaintlaurent.org

We look forward to seeing you!

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