CrossPoint Christian Reformed Church
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Register to attend an upcoming life service by filling in the following form.
LIVE - Sunday Worship Registration
Date of Service
*
MM
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DD
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Name
*
First Name
Last Name
Number Attending
*
Your E-mail
*
Contact Phone Number
(###)
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Have you traveled outside of Canada within the last 2 weeks?
*
Yes
No
Do you have any of the following new or worsening symptoms or signs? Fever, cough, shortness of breath, sore throat, runny nose, sneezing, or nasal congestion (not related to seasonal allergies) difficulty swallowing, loss of taste or smell, nausea/vomiting, diarrhea, abdominal pain, not feeling well, chills or headache.
*
Yes
No
Have you had close contact with anyone with respiratory illness or a confirmed or probable case of COVID-19?
*
Yes
No
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Office Hours: Mon. Closed, Tue. - Thurs. 8.30 - 4.00, Fri. 8.30 - 12.00