Date of Event (Required) Month Day, Year
Select an Event (Required)
First and Last Name (required) FisrtName LastName
Home Telephone (Required)
Other Bubble Members (if any):
Member-1: Home Telephone:
Member-2: Home Telephone:
Member-3: Home Telephone:
Member-4: Home Telephone:
Member-5: Home Telephone:
1. Are you self-isolating, or should you be self-isolating, as per the directives of the Chief Medical Officer of Health?
- Yes - You are NOT permitted to attend worship at this time
- No - Please proceed to question 2
- Unknown - Please complete the NL Government Self Assessment Tool, and call our Parish Office at 834-4501
2. Are you over the age of 60 ?
3. Do you have a known underlying medical condition?
- If YES to question '2' or '3' - The Chief Medical Officer of Health advises you should not attend because you are at a higher risk of developing complications if you contract COVID-19. If you still wish to attend, please proceed to question 3
- If NO - You may attend the worship service; please proceed to question 4
4. Do you have any restrictions with respect to wearing a face mask ?
- If YES, please explain:
5. Singing presents a higher risk for spreading COVID-19, and there will be some singing (while wearing a mask) during the service. Will this be a concern to you?
- If YES - we advise that you may wish to reconsider attending this Church service
6. Do you accept and agree that by registering and attending any gathering of public worship, that your attendance is at your own risk, and that you will adhere to public health directives and the directions given to you by Parish Authorities while attending worship?
- YES - you may attend
- NO - you are not attend
