NIGHT OF WORSHIP

* Indicates required field

NIGHT OF WORSHIP REGISTRATION

Thank you for joining us for this night of worship Friday January 22nd. Please complete the the registration below

Name *

First

Last

CELL PHONE NUMBER *

If you have been in contact with COVID-19 or suspect you have please stay get checked before attending service.

Email *

Within the last 14 days have you been diagnosed with COVID-19 or had a test confirming that you have the virus? *

Yes NO

Do you live in the same household with, or had close contact with someone who in the past 14 days has been isolated for COVID-19 or had a test confirming they have the virus? *

YES NO

Do you have any physical limitations for seating? *

Yes (please explain below) No

Limitations *

Scheduled Family Member Attending and Ages *

Have your guest/family members been diagnosed/ tested or been in close contact with someone who in the past 14 days been in isolation for COVID-19? *

YES NO

If yes please do not attempt to come to service during this time. *For the safety of our team and KE Partners, temperatures will be taken at the door without exception. If you or family/guest has a high temperature, then they will not be admitted.

By clicking submit you indicate that you have not had contact or exposed to COVID-19 and if you are not able to be at service for any reason that you will notify us via text (302) 262-9095 as soon as possible.

You also confirm that you will arrive 15 minutes prior to service and that your seats may be given away if you are not present 10 minutes before service.

There will be no youth ministry until we deem it safe for our children and staff.

Additionally, you will be sent a email confirmation, standby or if we have reached our capacity of your RSVP.

Finally, you also consent to photo/videoing from arrival to departure as we are filming for livestream, website and any other production we may have.

Submit