Bethel EM in-person worship service attendance registration
All who plan to attend the service in person are asked to complete and submit this form on Friday or Saturday of each and every week.

Responses to all the questions are required.

All the attendees should bring their own masks to the service and wear them while inside the church. Seating will be specially marked and social distancing measures will be in place. The ushers will guide you as you enter and exit the chapel.

If you have any "Yes" response, we ask you to refrain from attending the service in person and continue to attend the service online.

There will be paper questionnaire available for those who are not able to complete online.
Today's date: *
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Your first name: *
Your last name: *
Your phone number *
Do you currently have any of the following symptoms: fever or chills, cough, shortness of breath or difficulty breathing, body aches, headache, new loss of taste or smell, sore throat? *
Have you come into close contact (within 6 feet) with someone who has any of the symptoms listed above or with someone with a laboratory confirmed COVID – 19 diagnosis (confirmed positive test) in the past 14 days? *
Thank you for competing the registration. Again, if you have any "Yes" response, or, if your response may have changed on Sunday morning, we highly encourage you to refrain from attending the service in person and continue to attend the service online. Please use the space below if you have any questions, comments, or concerns.
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