Church Attendance Registration Form

A form built for churches to check in attendees at services, learn how they found the congregation, and screen their health status before entry.

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Name

First Name

Last Name

Phone Number

Date of Birth

Are you a Regular Church Member?

Yes No

How did you hear about our church/service?

Would you like to receive updates and newsletters?

Yes No

Have you experienced any COVID-19 symptoms in the last 14 days?

Yes No

Have you been in close contact with a confirmed COVID-19 case?

Yes No

Have you traveled internationally in the last 14 days?

Yes No

I consent to receive communications from the church:

Yes No

I agree to abide by the church's guidelines and policies:

Yes No

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