Albury Seventh-day Adventist Church Facility Booking Form
Use this form to submit a Church facility booking.

This form is to be used in conjunction with the Covid-19 Safety Plan found https://alburyadventist.church/church-facility-booking/

If you need assistance please contact Pastor Tony, Steve Greenham or Fiona Jacob.
Email address *
Event Date *
MM
/
DD
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YYYY
Start Time *
Time
:
Finish Time *
Time
:
Event Frequency *
Facilitator Name *
Event Name *
Number of people in attendance *
Rooms to be used *
Required
Group singing will be avoided *
Wind instruments will be avoided *
Food will be avoided *
Anyone with a fever, cough, sore/scratchy throat, shortness of breath etc will not be admitted and will be advised to be tested for COVID-19 *
I will comply with physical distancing practices allowing 1.5 metres between people and allowing 4m2 per person *
I understand hand hygiene includes washing hands regularly with soap & water for at least 20 seconds *
I will set up the tables and/or chairs before the event to assist with social distancing *
I will remind attendees to practice social distancing as they leave the premises *
I will disinfect table tops and door furniture if the room has been used within 72 hours prior *
I will clean the room and toilets after use, if I am using the G1 room or Junior room* *
I will record the contact details of all attendees in the register provided in the room *
I have read and will comply with the Albury SDA Church covid-19 safety plan on the church website *
Provide any additional information here
Full name of person completing this form and agreeing to ensure the information entered on this form is adhered to and maintained *
Form submission date *
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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