Service Registration Bedford Park

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Service Registration Bedford Park

8/14/2020

Join us for prayer at 3008 Bainbridge Ave, Bronx, NY 10458. Feel free to read Pastor Wayne's message in regards to opening up our church for service

The current state guideline allows for the attendance of religious services to be at 50% of the buildings capacity. Please pre-register to reserve your time and to help us keep an accurate log.

Choose a time to join us *

Sabbath Service 12:30pm Other Day and Time

Specific the other day and time *

* Indicates required field

Name *

First

Last

# OF PEOPLE IN YOUR GROUP *

NAMES OF ADDITIONAL PEOPLE *

Email *

Cell Phone *

Guidelines *

I agree to the following:

Practice social distancing by remaining 6 feet apart
No hugging, handshakes, or any other physical contact
Everyone in the building over the age of two must wear a Mask at all times (masks will be provided for those who do not have)
Children twelve and under must be accompanied to the bathroom
Enter through the front entrance

Note:

Worship Service will be held in the Gymnasium.
According to the NY State Department of Health those over 70, those who have underlying health conditions, or those who are immunocompromised should consider separate worship times.

Please consider answering the following questionnaire. You are not required to answer these questions unless you are part of the staff. However, if you cannot answer "No" to the following questions than please stay home and respect the safety of others.

HAVE YOU KNOWINGLY BEEN IN CLOSE OR PROXIMATE CONTACT IN THE PAST 14 DAYS WITH ANYONE WHO HAS TESTED POSITIVE FOR COVID-19 OR WHO HAS OR HAD SYMPTOMS* OF COVID-19? *

Yes No

HAVE YOU TESTED POSITIVE FOR COVID-19 IN THE PAST 14 DAYS? *

Yes No

HAVE YOU EXPERIENCED ANY SYMPTOMS* OF COVID-19 IN THE PAST 14 DAYS? *

Yes No

"HAVE YOU IN THE PAST 14 DAYS TRAVELED TO ANY STATE OR TERRITORY THAT MEETS THE CRITERIA FOR REQUIRED QUARANTINE IN NEW YORK STATE AND BEEN THERE MORE THAN 24 HOURS? ** *

Yes No

Contact in case of emergency *

*Symptoms of COVID-19: Cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, or new loss of taste or smell.
If you have any symptoms please contact your healthcare provider for assessment and testing.
** Below is current as of November 18. Those who are returning from any state besides Connecticut, New Jersey, Pennsylvania, Massachusetts, and Vermont must self-quarantine for 14 days. Same goes for most international returns.
It is possible to "test out" of the 14 day quarantine. Two tests are required. First test no more than 72 hours before arriving in New York State. Three days quarantine upon arrival in New York. Then on the fourth day another diagnostic test If both tests are negative the quarantine can be ended.
If you are in a restricted state for less than 24 hours, quarantine is not required BUT the traveler MUST fill out the traveler form and have a diagnostic test on the fourth day after arrival back in New York.

Submit

3008 Bainbridge Ave, Bronx, NY 10458

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