Registration for Sunday Service September 25, 2022 10:00 AM
Event Address: 5501 Silver Hill Road, District Heights, MD  20747
Contact us at (301) 420-2929 or stayconnected@sbcsw.org
You must bring proof of vaccination status and photo ID for entry.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Phone Number *
Please list everyone attending with you from your household
ARE YOU AWARE OF HAVING BEEN EXPOSED TO ANY ONE WITH  COVID IN THE LAST TWO WEEKS? *
Do you have a cough or a sore throat? *
Have you experienced any of these symptoms within the last 48 hours: fever, cough, trouble breathing, chills, muscle or stomach pain, sore throat, or recent loss of taste or smell? *
Have you had your covid-19 vaccination? *
Do you have your vaccination card. *
AGREED UPON TERMS FOR ON-SITE SERVICES
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Second Baptist Church Southwest. Report Abuse