CCS Contact Tracing Form
This form captures the details that government regulations require that we keep for contact tracing purposes. We will keep this information private and will not share it outside of the church office except for the purpose of contact tracing. You will only need to fill this in once, as your records will remain in our contact tracing database for a minimum period of six months as required by current regulations.
Email address *
Last Name *
First Names *
Residential Address *
Cell number *
Please fill in the names and cell numbers (if applicable) of everyone who lives at your home (if you live alone, please type N/A) *
May we add your information to our church directory? *
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