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* 1. Contact Info

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* 2. Do you consider yourself in a vulnerable group in reference to risk for Covid 19?

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* 3. Since March, I/we have participated in: (check all that apply)

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* 4. I would like to participate remotely, but need help knowing how. I have access to the following: (check all that apply)

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* 5. When we reopen the building to worship services, how do you plan to participate in worship? (check all that apply)

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* 6. When we reopen, we anticipate needing many more volunteers to help ensure a safe environment for worship. Are you willing to help maintain safety protocols?

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* 7. I/we feel comfortable coming into the building:

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* 8. If you have children in our ministries, when would you feel comfortable letting them attend?

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* 9. The following are very important to me to help ensure safety when we open (check all that apply)

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* 10. Please share any other thoughts, questions, or concerns you may have:

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