Leaders Meeting Tuesday 1st June 6.30pm - Sanctuary
If you have any COVID -19 symptoms, we encourage you to please opt to stay home until you feel better or have been cleared


This form needs to be completed in order for you to gain access to the Gracepoint Church Premises.
This form serves as an official declaration. All answers must be answered truthfully.

Please complete a form for each person (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 your first entry). An individual response is needed for each individual attending.

1. You will be required to present yourself at the registration desk on arrival.
2. You must ensure that you bring your face mask which you will be required to wear for the duration of the Service and while on Gracepoint premises.
3. We will take your temperature check on arrival.
4. You will be required to sanitize your hands on arrival

Email *
Firstname *
Surname *
Contact 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? *
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. *
PLEASE DO NOT COMPLETE: Body Temperature Reading to be completed 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. Report Abuse - Terms of Service - Privacy Policy