Registration is required for In-Person Christmas Eve 5:00PM & 7:00 PM

I am registering for the following *

(Choose one.)

5:00 PM Lessons & Carols

7:00 PM Lessons & Carols

Name *

First Name

Last Name

Phone Number

(###)

###

####

Questions concerning health *

I understand that I am answering the following questions for myself and any guests or family members for whom I am registering.

Do you currently have a fever of 100.4 degrees F or greater?

No

Yes

Do you or have you had any of the following symptoms? Cough, Shortness of breath or chest tightness, Sore throat, Nasal congestion/runny nose, Myalgia (Body aches), Loss of taste and/or smell, Diarrhea, Nausea, Vomiting, Fever/Chills/Sweats? *

No

Yes

In the past 14 days, have you gotten a positive result from a COVID-19 test that tested saliva or used a nose or throat swab? (not a blood test) *

No

Yes

In the past 14 days, have you been in close contact (within 6 feet for at least 10 minutes) with anyone who either tested positive for COVID-19 (not a blood test) or developed symptoms of COVID-19 (fever, cough, or shortness of breath)? *

No

Yes

COVID-19 is a serious and highly communicable disease. According to the Centers for Disease Control and Prevention, senior citizens and individuals with underlying medical conditions are especially vulnerable. An inherent risk of exposure to COVID-19 exists in any public place where people are present. Although The Church of the Holy Trinity asks all attendees to observe certain precautions, there is no assurance of protection from exposure to COVID-19 at Holy Trinity’s worship services. The risk of exposure to COVID-19 is voluntarily assumed by all attendees. *

I have read the informed consent statement, agree to wear a mask at all times while indoors, and accept the risk of attending services at The Church of the Holy Trinity.