Service Registration - Pawling

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Service Registration - Pawling

11/29/2020

Join us for Sabbath School and the Worship Service at the Pawling Recreation Center located in 22 Coulter Avenue, Pawling, NY 12564. 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 each time you attend to let us know that you are coming and to help us keep an accurate log.

* Indicates required field

Date you are attending *

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). Mask must completely cover nose and mouth.
Children twelve and under must be accompanied to the bathroom.
Enter through the front entrance unless staff.

Note:

Someone will be taking temperature checks at the front door.
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 options.
As requested by the church we are renting from there will be no congregational singing.

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 TERRITORY THAT MEETS THE CRITERIA FOR REQUIRED QUARANTINE IN NEW YORK STATE AND BEEN THERE MORE THAN 24 HOURS? ** *

Yes No

Is your body temperature 100.4 or higher? *

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 April 1. Domestic restrictions have been lifted. International travelers arriving in New York must comply with all current CDC requirements for testing and quarantined after international travel. All travelers must complete the NYS traveler health form.
Upon arrival in the U.S., international travelers must either quarantine for 7 days with a test 3-5 days after travel, or quarantine for the full 10 days without a test. This requirement applies to all
international travelers whether they were tested before boarding, are recovered from a previous COVID-19 infection, or are fully vaccinated.

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