Re-Entry Registration
Sunday Worship Service
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Last Name *
First Name *
Phone Number (Used for Contact Tracing and updates) *
Email (Will be used for Contact Tracing and Updates)
What Sunday will you attend? *
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Which of these symptoms have you experienced in the last 2-14 days? *
Pflichtfrage
Have you traveled out of the area/country recently?
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How many in your party will be attending (including yourself) *
By selecting the "Yes" check box I understand that I am attending an event at St. Timothy's at my own risk and those in my party....etc.... *
Pflichtfrage
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Dieses Formular wurde bei St. Timothy's Episcopal Church erstellt. Missbrauch melden