Service Attendance Registration
If you have tested positive for COVID-19 within the last 20 days, currently have any COVID-19 symptoms, or have had close contact* with anyone with confirmed or suspected COVID-19 within the last 14 days, please contact your physician immediately.  
Do not attempt to attend services, rehearsals, and/or meetings until cleared by your physician and obtaining proof of testing “negative” for COVID-19.
Symptoms are fever 100.4 F, cough, shortness of breath, chills, headache, sore throat, the new loss of taste or smell, myalgias (muscle pain), new-onset tiredness/fatigue.  

If none of those risk factors apply and you have received the COVID-19 Vaccination, please feel free to submit your name and contact number to register your intent to attend our worship experience scheduled for Sunday, March 28th at 9:00 am.
*Close contact means not wearing a face mask within 6 feet for greater than 15 minutes.

I plan to attend the Sunday Worship Experience scheduled for Sunday, March 28th at 9:00 am.  I have received the COVID-19 Vaccination and will present the Vaccination Card. Please indicate your name and contact information below.

Sign in to Google to save your progress. Learn more
Name
Contact number
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Second Baptist Paterson. Report Abuse