IN-PERSON SERVICE REGISTRATION

SELF SCREENING CRITERIA

YOU MUST STAY HOME IF IN THE PAST 10 DAYS YOU HAVE HAD ANY OF THE FOLLOWING:

FEVER OR ABOVE NORMAL TEMPERATURE
SHORTNESS OF BREATH OR TROUBLE BREATHING
DRY COUGH
RUNNY NOSE
LOSS OR REDUCTION IN YOUR SENSE OF SMELL
SORE THROAT
CONTACT WITH SOMEONE WHO HAS TESTED POSITIVE FOR COVID-19
TESTED POSITIVE FOR COVID-19
AWAITING RESULTS ON COVID-19 TEST
BEEN IN CLOSE CONTACT WITH SOMEONE AWAITING RESULTS ON COVID-19 TEST
HAVE TRAVELED OUTSIDE THE STATES OF OREGON OR WASHINGTON (OK IF FULLY VACCINATED)
MUST BE WILLING TO WEAR A MASK AT ALL TIMES WHILE ON SMPC CAMPUS

24 out of

25 Registration spots available

Service to Attend:

Family Household Name:

Address:

Address (line 2 if needed):

City, St, Zip:

Number of people attending:

Name of each person attending:

Best method of contact:

Select an option

Phone

Text message

E-mail

Enter phone number:

Enter E-Mail address:

I verify that my household being registered meets all of the above Self Screening Criteria and we all agree to wear masks while on the church campus. (Check box to enable REGISTER button)

25

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IN-PERSON SERVICE REGISTRATION

SELF SCREENING CRITERIA

​

YOU MUST STAY HOME IF IN THE PAST 10 DAYS YOU HAVE HAD ANY OF THE FOLLOWING:

​

FEVER OR ABOVE NORMAL TEMPERATURE

SHORTNESS OF BREATH OR TROUBLE BREATHING

DRY COUGH

RUNNY NOSE

LOSS OR REDUCTION IN YOUR SENSE OF SMELL

SORE THROAT

CONTACT WITH SOMEONE WHO HAS TESTED POSITIVE FOR COVID-19

TESTED POSITIVE FOR COVID-19

AWAITING RESULTS ON COVID-19 TEST

BEEN IN CLOSE CONTACT WITH SOMEONE AWAITING RESULTS ON COVID-19 TEST

HAVE TRAVELED OUTSIDE THE STATES OF OREGON OR WASHINGTON (OK IF FULLY VACCINATED)

MUST BE WILLING TO WEAR A MASK AT ALL TIMES WHILE ON SMPC CAMPUS

24

out of

25

Registration spots available