Wreath fundraiser Wreath fundraiser Wreath fundraiser "*" indicates required fields 1.) If you are registering a family, please fill out a separate form for each individual. 2.) Have you experienced any of the following symptoms in the past 48 hours? Fever or chills Cough Shortness of breath or difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting Diarrhea Have you experienced any of the following symptoms in the past 48 hours?* YES NO You do not meet the guidelines to attend in-person worship this week. Please enjoy worship service on line. You may register again next week. 3.) Are you isolating or quarantining because you tested positive for COVID-19 or are worried that you may be sick with covid-19?Are you isolating or quarantining because you tested positive for covid-19 or are worried that you may be sick with covid-19?* YES NO You do not meet the guidelines to attend in-person worship this week. Please enjoy worship service on line. You may register again next week. 4.) Have you been in close physical contact (within 6 feet for 15 minutes or more) in the last 14 days with: Anyone who has been confirmed to have COVID-19 or Anyone who has any symptoms consistent with COVID-19?Have you been in close physical contact (within 6 feet for 15 minutes or more) in the last 14 days with:* YES NO You do not meet the guidelines to attend in-person worship this week. Please enjoy worship service on line. You may register again next week. 5.) Are you currently waiting on the results of a COVID-19 test?Are you currently waiting on the results of a covid-19 test?* YES NO You do not meet the guidelines to attend in-person worship this week. Please enjoy worship service on line. You may register again next week. 6.) Have you travelled out of the country in the past 10 days?Have you travelled out of the country in the past 10 days?* YES NO You do not meet the guidelines to attend in-person worship this week. Please enjoy worship service on line. You may register again next week. You do not meet the guidelines to attend in-person worship this week. Please enjoy worship service on line. You may register again next week.UNVACCINATED: IF YOU HAVE TRAVELED IN THE PAST 10 DAYS, GET TESTED AND SELF-QUARANTINE FOR 7 DAYS BEFORE RETURNING TO IN-PERSON WORSHIP SERVICE. PLEASE CONTINUE TO ENJOY THE WORSHIP SERVICE ON-LINE. VACCINATED: IF YOU HAVE TRAVELED IN THE PAST 10 DAYS, SELF MONITOR FOR COVID-19 SYMPTOMS; ISOLATE AND GET TESTED IF YOU DEVELOP SYMPTOMS BEFORE RETURNING TO IN-PERSON WORSHIP SERVICE. Name* Email* I certify that all responses are true and correct I certify that all responses are true and correct CAPTCHA
