Covid Screening Registration Page

Please fill out our screening info to avoid wait times for our in-worship experience.

Subject

Please put name of family or person joining us

Name

As seen on Photo ID

First Name

Last Name

Phone Number

Please add area code

(###)

###

####

Whatsapp Number

Country

(###)

###

####

Worship Time

Please put worship time when you will join us

Hour

Minute

Second

Worship Date

Please put worship date(in numbers) you will join us

YYYY

Are you feeling any Flu Llike Symptoms?

Please click the below

Are you currently experiencing or have experienced in the past 14 days New loss of Taste or Smell?

Please click below

More Medical Info

if you have any additional medical needs or allergies please put here.