Friday Adoration Signup
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Email *
Select Adoration Hour *
Here are the hours for which we have seats available. If the hour that you are looking for is not showing up here means we do not have any seats available for that hour
No of people attending (including me) *
Name *
Phone *
999-999-9999
Select Ward
1, During the PAST 14 DAYS, I/We didn't have any of the following symptoms of COVID-19 : Fever; Shortness of breath or difficulty breathing; Chills; Persistent cough; Flu-like symptoms; Diarrhea or intestinal upset; Fatigue; Sore throat; Headache; Muscle pain; Recent loss of taste or smell. *
Required
2. I/We haven't come in contact with someone experiencing symptoms of COVID-19 identified in #1 above in the past 14 days? *
Required
3. I/We haven't tested positive for COVID-19 in last 30 days *
Required
4. I/We will immediately notify the Vicar or Trustee if, after attending this Adoration & Holy Qurbana, I/We develop 2 or more symptoms of COVID-19; I will also avoid contact with others, and will seek medical attention. *
Required
A copy of your responses will be emailed to the address you provided.
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