CLBC Sunday Worship Services & Children Program Sign up for September 26, 2021 加略山證道浸信會9月26日主日崇拜及兒童主日學登記表
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Email *
I give permission to CLBC to collect and retain the information I share on this form, and share with Public Health for contact tracing purpose. 本人同意加略山證道浸信會收集及保留此表格內之個人資料,並可提供給公共衛生機構以作追蹤之用途。 *
Full Name 姓名 *
Contact Number聯絡電話 *
Please select the service or program you would join in person. (You can choose more than one options) 請選擇你將會參加之實體聚會 (可選擇超過一項) *
1. Do you have any of the signs or symptoms of COVID-19? 你有下列任何新型冠狀病毒之症狀嗎? *
If answered YES to any of the above, please hold off on coming to church and stay home until well. 如果對以上任何一項的答案為"是",請留在家中直至康復
2. Have you been tested for COVID-19 in the past 14 days? 在過去14天內, 曾否接受新型冠狀病毒檢測? *
If tested for Covid-19, what is the result? 若曾接受檢測,結果是什麼?
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3. Have you been travelling outside of Canada in the past 14 days? Have you had close contact with someone who are tested positive for COVID-19? 在過去14天內有否到加拿大以外的地方旅遊?有沒有與新型冠狀病毒確診者密切接觸? *
4. If you are instructed by Public Health to self-isolate, have you completed the 14-day quarantine period by the date of worship? 如公共衛生指示要自我隔離, 在崇拜當天你是否已經完成14天自我隔離? *
5. Has anyone in your household travelled outside of Canada in the past 14 days? 家中是否有人在過去14天內到過加拿大以外的地方? *
6. Has someone in the household been part of a dismissed school or child care cohort in the past 14 days, and are currently at home isolating? 家中是否有人在過去14天內曾參加因疫情而需要關閉之學校或托兒所,而現正在家中隔離? *
*Please note that another screening is still required before entering chapel on Sunday.* If you pass the self-screening, please wear a face mask/face covering and maintain 6 ft physical distancing while on church premises, including chapel, hallways, parking lot etc. Do you need a face mask provided by church? *崇拜當日, 在進入禮堂之前, 請再進行一次測試.* 如通過自行測試,請於出席聚會時, 在教會走廊及停車場時, 戴上口罩或面罩,並保持6呎社交距離。 你需要教會提供口罩嗎? *
Will you be able to help with serving as ushers in the future? 你將來能否參與司事之事奉?
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