Registration for Purpose Institute Graduation Service – 7:30 p.m. Friday, August 13, 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your taking time to complete this online service registration. Please fill out the form below, the first part is composed of some COVID health related questions below, followed by your contact information questions. You are requested to remain at home if you or any family member have a change in health status.

PLEASE NOTE: You will receive an email either confirming an accepted registration or a declined registration. Only those with an accepted registration will be authorized to attend in-person service.

Email *

How many individuals of the same household will be present in service? *

Full names (first name, last name) and age of each individual in your household *

Phone Contact Number *(without dash or spaces) *

Are you, or any of your household scheduled to minister for the service you are registering for? (music ministry, audio, broadcasting, usher, registration, etc)

Yes

Clear selection

In the past 14 days, did you or a family member experience any of the following symptoms: shortness of breath or difficulty breathing, sore throat, a cough or worsened cough, a sudden loss in smell or taste, have flu-like symptoms (runny nose, headache, muscle pains etc) or a fever (38 C or more), nausea, vomiting or diarrhea? Answer yes or no if ANY of the following applies to you or a family member. *

Yes

In the past 14 days, did you or a family member: travel outside of Canada? or come in contact with someone who travelled outside of Canada? or test positive for COVID-19? or come into contact with someone who tested positive for COVID-19? Answer yes or no if ANY of the following applies to you or a family member. *

Yes

I understand and agree to follow required Covid safety guidelines as recommended by Public Health Quebec, (wearing of mask indoors at all times, no physical contact with others, sanitizing hands, etc.). *

Yes

I understand that I will only be able to attend service if I have received a confirmation email. *

Yes

I declare that I have responded honestly to this registration to the best of my knowledge. *

Yes

Do you have any notes, comments or questions?

We look forward to seeing you and your household!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms