18 April 2021 - Wesley CityHeart Congregation - 1:30pm In Person Gathering • Wesley Congregational Life

Adult 0

Please complete all fields below.

Personal Details

Please provide your personal details. This will be used in the event contract tracing for COVID is required.

First Name *

Last Name *

Phone Number *

Email Address (needed for e-Ticket)

COVID Safe Criteria for attendance

For your own health and safety, and the others in the congregation, we are asking that if you have, in the last 14 days: returned from overseas, been asked to self-isolate, or been in close contact with someone confirmed or suspected with having COVID-19, please don't register, and leave the ticket allocation for someone else.

Although we would love to meet in person with you at our gatherings, if you answer 'yes' to any of the questions below, we ask that you join us online through our livestream service instead of in person.

Have you returned from Overseas in the last 14 days? *

Yes

Have you been asked to self isolate in the last 14 days ? *

Yes

Have you been in close contact with a confirmed case of COVID-19, or someone awaiting test results for COVID-19 within the past 14 days? *

Yes

In addition to the above questions, we will be checking your temperature on the day, prior to entry into the Worship Service.

If you are feeling unwell, have a cough, fever, or experiencing shortness of breath on the day, Please get COVID-tested and join us online through our livestream instead of in person.

Further Contact

During this time of COVID, it is easy to feel disconnected and socially distant from others. We would love to keep your details on our database so that we can keep in touch, and keep you advised of news and upcoming events within our church community.

I would prefer my contact details are removed after 28 days

Yes

Child (<18yrs) 0

Please complete all fields below.

Personal Details

Please provide your personal details. This will be used in the event contract tracing for COVID is required.

First Name *

Last Name *

Phone Number *

Email Address (needed for e-Ticket)

COVID Safe Criteria for attendance

Have you returned from Overseas in the last 14 days? *

Yes

Have you been asked to self isolate in the last 14 days ? *

Yes

Have you been in close contact with a confirmed case of COVID-19, or someone awaiting test results for COVID-19 within the past 14 days? *

Yes

In addition to the above questions, we will be checking your temperature on the day, prior to entry into the Worship Service.

If you are feeling unwell, have a cough, fever, or experiencing shortness of breath on the day, Please get COVID-tested and join us online through our livestream instead of in person.

Further Contact

I would prefer my contact details are removed after 28 days

Yes

Date & Time

Adult 0

Personal Details

COVID Safe Criteria for attendance

Further Contact

Child (<18yrs) 0

Personal Details

COVID Safe Criteria for attendance

Further Contact