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Trinity Episcopal Church Sunday Service Registration
Please complete this form for each member of your household (including any children) on a weekly basis if you would like to join us for in-person worship. Each person who will be attending worship should submit this form. We also have Zoom worship service at both our 9:00am and 10:30am each Sunday. However you decide to join us- welcome!
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Email
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Your email
Will you be attending the 9:00 AM or 10:30 AM Worship Service?
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9:00 AM
10:30 AM
What date will you be attending the Worship Service?
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MM
/
DD
/
YYYY
First Name
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Your answer
Last Name
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Your answer
What is the best phone number to contact you in case of suspected community exposure to COVID-19? (xxx-xxx-xxxx)
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Your answer
COVID-19 Screening Questions
If “YES” is the answer to any of the questions below, we ask that you do not enter the church building. Please plan to join us instead at our Zoom service on Sunday at 9:00 AM.
Is your temperature higher than or equal to 100.0 degrees Fahrenheit?
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Yes
No
Have you had any known contact with a person confirmed or suspected to have COVID-19 in the past 14 days?
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Yes
No
Are you currently experiencing ANY of the following symptoms (new or worsening)? *Cough *Shortness of breath *Trouble breathing *Fever (temperature higher than or equal to 100.0 degrees Fahrenheit) *Chills *Muscle pain *Headache *Sore throat *New loss of taste *New loss of smell
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Yes
No
Have you tested positive for COVID-19 through a diagnostic test in the past 14 days?
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Yes
No
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