Mass Registration, Vigil of Immaculate Conception at St Mary's, Dec 7th at 4PM
Email address *
Name #1 Last Name, First Name *
Name #2
Do you or anyone in your household have any Coronavirus symptoms? ex. fever, cough difficulty breathing, loss of taste or smell, etc. *
Have you or anyone in your household had contact with anyone who has been diagnosed with or may have symptoms associated with COVID-19? *
I understand and agree that I will wear my mask throughout mass *
I understand and agree that I will be assigned a spot and I will remain in this spot for the duration of mass except to receive communion. *
I will practice social distancing and be attentive to the signage and the direction of the attendants, ushers and parish staff. *
Are there any special considerations we need to know about? ie: need to sit in the back, need to sit in front, uses a wheelchair, etc
Phone number *
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