KIDS Church COVID-19 Registration form 8:15am service. 29/11/2020 ages 5-6
PLEASE READ CAREFULLY BEFORE COMPLETING.


This form needs to be completed in order for your child (Ages 5-6 BUSH BUDDIES) to gain access to the Kids Church Premises.
This form serves as an official declaration. All answers must be answered truthfully.

If you have more than 1 child ages 5-6, choose the option to 'SUBMIT ANOTHER RESPONSE' at the end when this one is complete and NOT 'EDIT YOUR RESPONSE' as this will delete the data for the first child.
An individual response is needed for each child.

By completing this form you are reserving a seat for your child, once we have reached capacity (10 registered Kids) or the closing time for completing the form has been reached, no one will be able to register and this form will be closed.

Very Important: You cannot swap services on the day as we will have pre bookings for each service.
1. Please bring water in a small water bottle, sanitizer in a spray bottle and optional a hand sanitizer in a little
back pack - your child will be able to hang it up in the class.
2. You will be required to present your child to the Explorers registration desk on arrival.
3. You must ensure that your child brings and wears his/her face mask which he/she will be required to wear
for the duration of the Sunday service, and while on Gracepoint premises.
4. We will do the kids temperature check on arrival at the Explorers class door .
5. The whole family will be required to sanitize hands on arrival.
6. No parents are allowed in the classroom at any time - this is t ensure that are classrooms and other kids are
not compromised.

COMPLETE BEFORE 5PM Saturday 28/11/2020!
Email address *
Date you will be attending the service (only current week registration) *
Surname *
Full Name *
Date of birth of child *
MM
/
DD
/
YYYY
Parents Contact Number *
Has your child been in contact with someone confirmed to have contracted Covid-19 within the last 7 Days? *
Has your child had any of the following symptoms in the last 7 days or currently? *
Required
Does your child have a mask which they 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!!!!!
Body Temperature Reading (Reading taken on Sunday the 29th)
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