10am Worship Check-in Sunday, October 17, 2021

First Name *

Last Name *

Address *

City *

State/Province *

Zip/Postal Code *

Phone *

Email Address

Preferred way to contact *

Phone

Email

Any

Terms and Conditions *

By agreeing, you confirm that you are fully vaccinated, will wear your mask at all times during the service, and will social distance. Please note that we are only allowing 75 attendees in the church during the service. This is a first-come, first-served basis. After we have reached that limit, our signup page will not allow anyone else to register.

If you are experiencing signs and symptoms of COVID-19 or have knowingly been in contact with someone who has been diagnosed with COVID19 within the past 7 days, please refrain from attending services.