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Church Reservation &


Health Declaration 

Please fill out the following health declaration form to reserve seating for our Sunday, October 4, 2020 service at 9AM CT.
All submissions will be individually reviewed before reservations are confirmed and all reservations are only valid for the Sunday service requested.  
Have you or any one in your home experienced any COVID 19 related symptoms to include coughing, dizziness, fever, diarhea, body aches, lost of taste or smell or a shortness of breath?
Have you or any one in your home been in contact with some that has tested positive for COVID 19 within the last 14 days?
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