May 23rd Outdoor Worship Registration
Your safety is our #1 priority! Due to Covid-19 there are many guidelines now in place through the CDC and local officials. One of those guidelines is “Contact Tracing" and another is "Socially Distanced Capacity." We are now asking those wishing to attend Sunday worship to fill out this form by noon on the Friday before Sunday 10:00am Worship.
This questionnaire will take you only a moment to complete. Be sure to click the “Submit” button at the bottom of the questionnaire to turn in your form.
The Deadline for May 23rd Worship Registration is Friday, May 21st at 12:00 p.m. (noon)
The FPC Staff
Your Phone Number
For seating purposes, how many members of your family or pod will be attending?
List the names of all persons attending this worship service with you. If you are attending alone, type in "none"
Have you or anyone in your pod experienced any of the following?
Please check all boxes that apply.
I am fully vaccinated. (This is not required in order to attend the service.)
The other attendees in my family are fully vaccinated. (This is not required in order to attend the service.)
Are you currently experiencing a cough, fever (>99.4), chills, sore throat, muscle pain, loss of smell or taste, vomiting or shortness of breath?
Are you currently caring for someone who is ill?
During the last two weeks, have you been diagnosed with COVID-19?
During the last two weeks, have you had contact with someone diagnosed with COVID-19 or suspected to have COVID-19?
No. None of the above apply to myself.
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This form was created inside of Fairmount Presbyterian Church.