Group Reporting Form: Trinity Building Use
Group leaders are asked to complete this form within 48 hours of the completion of a meeting or event using the space at Trinity. Please contact the church office with any questions:
office@trinitypresbyterianharrisonburg.org
or 540-434-9556 Checklist - sanitized upon entry and exit, wore masks, physically distanced and followed other listed precautions, list # of participants, entry time and exit time.
* Required
Group Name
*
Your answer
Group Leader Name
*
Your answer
Please check to confirm:
*
Surfaces were sanitized upon entry and before leaving the building
All participants wore masks for the duration of the meeting/event
At least 6' physical distancing was maintained between individuals from different households
All other COVID Guidelines were followed
All participants completed the waiver form (or have a completed form on file)
Required
If any of the above boxes were not checked, explain reasons here:
Your answer
How many participants, including the group leader, were on site for the meeting/event?
*
Your answer
Date of Meeting/Event:
*
MM
/
DD
/
YYYY
Time of arrival:
*
Time
:
AM
PM
Time of departure:
*
Time
:
AM
PM
Electronic Signature (typed)
*
Your answer
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