2021 Health Questionnaire--COVID-19

Health Questionnaire--COVID-19
This form is required prior to attending worship. It's for your safety and the safety of others.
Please note: Each individual wishing to attend worship must fill out this form, including children.
 
 
Do you have any of the following?
Please select all that apply.
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Please answer the following questions.
Please select all that apply.
Please select one option.
Please select one option.
Please select all that apply.
Please note: If you answered YES to any of the questions, you will not be allowed to enter the facility/office. This is for your safety and the safety of others.

Description

Health Questionnaire--COVID-19
This form is required prior to attending worship. It's for your safety and the safety of others.