Please fill out a separate form for every individual attending

By completing this form, you are indicating that you intend to attend in-person worship on the date listed in the title of this survey, and a space will be reserved for you. The survey will close automatically if/when our maximum occupancy has been reached.

If you do not agree to all of the items below, we are unable to welcome you to in-person worship at this time, but welcome you to continue worshipping weekly with us online, via our YouTube channel.

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For in-person service at this time, we require: online preregistration, entry through the main hall (upstairs), mandatory masks while indoors, sanitizing hands when entering, liability waiver signed by every participant, maximum 50 people, continuous airflow with doors propped open, 45 minute service, outdoor coffee and conversation after worship, individual communion kits that can be taken home and brought back to reuse.

Do you agree to follow all of these protocols while on the Trinity Lutheran Church property?

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First and Last Name

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We are unable to welcome anyone who:

Has symptoms of Covid-19 (fever, chills, cough or worsening of chronic cough, shortness of breath, sore throat, runny nose, loss of sense of smell or taste, headache, fatigue, diarrhea, loss of appetite, nausea or vomiting, muscle aches, stuffy nose, pink eye, dizziness, confusion, abdominal pain, skin rashes)

Has been in close contact with any person who has been diagnosed with Covid-19

Has travelled internationally within the past 14 days

Is awaiting results of a Covid-19 diagnostic test

Do you agree not to attend, should any of the above apply to you on the date of worship?

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In order to love my neighbours in worship, I agree to wear a mask, and to refrain from passing or sharing items, at all times that I am on the church property.


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I am willing to sign a "Release, Waiver of Liability and Assumption of Risk Agreement" form when entering the TLC building.

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UPDATED - PLEASE READ CAREFULLY: After worship we will offer an optional INDOOR gathering for coffee and conversation.

Anyone age 12+ who would like to participate must be double-vaccinated against Covid-19. You may need to show proof of this before entering the hall.

Participants may remove their mask while seated at their table, to drink coffee and eat treats.

Masks are to be worn indoors at all other times by participants age 13+, and it is expected that no one will be moving between tables to socialize.

We highly recommend that every child between the ages of 5-12 wear a mask while attending as well, and ask that parents/guardians ensure that children stay with them at their table and are not running throughout the hall.

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