NBC Ngong Road Youth Service,28th March 2021
Kindly fill the simple form below. It should take only 1-2 minutes. Responses are confidential. You may also fill a separate form for your family members.

Youth attending the Youth service have a separate form to fill, and children in Sunday school will be registered on entry.

It shall be free seating when you come to the sanctuary, subject to social distancing as per seat markings.

KINDLY DO NOT PROCEED if you or any member of your household has tested positive for COVID19 in the last 14 days OR In the last 14 days has been exposed to a person who tested positive for COVID19 OR has experienced COVID19 symptoms such as coughing, fever, difficulty in breathing, persistent sneezing in the last 7 days.

God bless you!
Full Name *
Email address *
Mobile number *
Emergency number *
Planning to attend with family? *
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