West Dallas Community Church COVID-19 Pre-Arrival Screening
West Dallas Community Church continues to monitor COVID-19 (coronavirus) and its impact on our community. We are following guidance from local and state officials as well as the Centers for Disease Control (CDC).Please complete WDCC's COVID-19 Campus Pre-Arrival Screening questionnaire before you come to church. This screening will help us ensure your health and safety and that of your WDCC members and guests.
Email address *
1. First Name *
2. Last Name *
3. My relationship to WDCC *
4. Contact Phone *
5. I have...[tested positive for COVID-19 within the last 14 days.] *
6. I have...[been exposed to someone who has been diagnosed with COVID-19 within the last 14 days.] *
7. I have... [had a temperature of 99.9 degrees or above for at least 24 hours] *
Please Respond *
Required
AKNOWLEDGEMENT: I attest that my answers are true and accurate to the best of my knowledge. Please verify by typing your full name. *
Thank you for helping us protect the health and safety of our WDCC community. The WDCC COVID-19 Task force will disseminate COVID updates to members, staff and other constituents on a regular basis.
Leadership of West Dallas Community Church
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy