Monument of Faith Church - COVID Pre-Check Form

First Name:

Last Name:

Email Address:

Phone Number:

Date of the service you want to attend (example: 7/6/21).

Have you, or anyone in your family, traveled to a U.S. City/State with reported cases of Coronavirus in the past 30 days?
Yes
No

Have you, or anyone in your family, been in personal contact with any person(s) infected with Coronavirus or who has traveled to an area with widespread and ongoing transmission of Coronavirus in the past 30 days?
Yes
No

In the last 48 hours, have you or anyone in your family had a fever of 99.5°+?
Yes
No

Have you or anyone in your family experienced any cough, fatigue, aches/pain, or loss of taste/smell?
Yes
No

COVID-19 is highly contagious and is known to spread mainly from person-to-person contact. By submitting this form and attending Monument of Faith Church, you and your family agree to abide by the procedures established by the church to protect attendees and staff, and you and your family voluntarily assume the risk that you and/or your family may be exposed to or infected by COVID-19 either at the church, in the church worship service, or in the nursery or Sunday School. Further, you and your family agree that entrance to services may be denied if you or someone in your household answers “yes” to any of the pre-screening questions. You and your family agree to assume all the risks of attendance and participation for you and your family, and you and your family waive any liability against the church and any other parties. By clicking this final “yes” below, you and your family acknowledge and do hereby accept the terms and conditions contained in this registration form.
Yes
No

Submit Questions Here:

MOF COVID Pre-Screening Form

Submit Pre-SCREENING info below!

Worship Schedule

Contact Info

Follow us