JOURNEY Youth Registration (9.30.2020) We look forward to seeing you at JOURNEY Youth, September 30, 2020 @ 6pm! Please provide the following information to complete your registration. Note: Upon approaching Building A and outdoor space on the HV campus, you will be required to wear a facemask and remain socially distant. Question Title * 1. Your contact info: First Name * Last Name Email Address * Phone Number * Question Title * 2. How many will be attending in your group? 1 2 3 4 5 6 7 8 9 10 Question Title * 3. Provide the full name of each indivdiual in your group. Name Name Name Name Name Name Name Name Name Name Question Title * 4. Do any of the following apply to you? If you check any of them, please DO NOT ATTEND Journey Youth. Have had a fever of 100.4 or greater in the last 2 days Have a cough, difficulty breathing, sore throat, or loss of taste or smell Have had close contact with person known to be infected with Covid-19 in the previous 14 days. (Please note: Close contact is defined as having been withing 6 ft of a Covid-19 positive patient for 15 minutes or more within 48 hours of testing positive.) Other (please specify) Question Title * 5. How would you like to receive additional information and/or updates about Journey Youth? Text Email Both Done