IREC Trinity Service Registration
Name of person(s) attending worship
If traveling with a group, write down all of their names
Contact information other than e-mail address
Does any of the person(s) listed above have any of the following?
Sore Throat, Trouble Swallowing
Loss of Taste or Smell
Not Feeling Well
Nausea, Vomitting, or Diarrhea
None of the above
Has the person been in close contact with someone who is sick or has confirmed COVID-19 in the past 14 days?
Has the person returned from travel outside Canada in the past 14 days?
If the person answered YES to any of these questions, please ask them go home & self-isolate right away.
A copy of your responses will be emailed to the address you provided.
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