Gracepoint Church COVID-19 Registration form 10am service.
Date you will be attending the service (only current week registration)
ID Number (Date of birth if child)/ Passport number
Have you been in contact with someone confirmed to have contracted Covid-19 within the last 7 Days?
Have you had any of the following symptoms in the last 7 days or currently?
Loss of sense of smell or appetite
None of the Above
Do you have a mask which you will wear in this facility at all times?
I hereby declare to the best of my knowledge that the information disclosed is correct at the time of completion.
!!!!The section below is for Gracepoint office use only. PLEASE IGNORE!!!!!
PLEASE DO NOT COMPLETE: Body Temperature Reading (Reading taken on Sunday the 29th) To be completed Sunday on your arrival, by a Gracepoint official
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service