New Life Service Registration Form
A separate form must be filled out for every member of your family that will be attending service on the upcoming Sabbath. In order to ensure proper social distancing a limited number of people are permitted to attend in-person services. You will be notified if we receive too many registration forms, thank you for your understanding.

Please note:
A mask will be mandatory for the duration of the service.
There will be no children's or adult In-person Sabbath School at this time.
Sign in to Google to save your progress. Learn more
Email *
Last Name *
First Name *
Phone Number (###-###-####) *
Do you have any of the following? *
Yes
No
Cough
Runny nose
Shortness of breath
Fever
Chills
Headache
Unexplained fatigue
Decrease sense of smell
Abdominal pain/diarrhea
Conjunctivitis (pink eye)
Have you been in contact with someone who is sick or has confirmed COVID-19 in the past 14 days? *
Have you returned from travel outside of Canada in the past 14 days? *
If you answered "Yes" to traveling outside of Canada in the last 14 days, have you been required to self-isolate?
Clear selection
If you have answered yes to any of the above questions or develop symptoms before Sabbath, please stay home and contact your healthcare provider. Feel free to join our live stream by visiting https://www.youtube.com/c/NewLifeSDAChurchOshawa.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy