Women's Small Group @ The Farm Registration

Personal Information

First Name

Last Name

Email Address

Phone Number

COVID-19 Screening

As part of our commitment to protecting our church community, we want to make sure that we reduce the risk of transmission at in-person gatherings.

We appreciate your commitment to refrain from attending any in-person gatherings if you are experiencing symptoms of COVID-19 or are required to isolate after being recently exposed to someone confirmed to have COVID-19.

I will not join this small group in-person if I am experiencing any symptoms of COVID-19 or if I am required to isolate after being recently exposed to anyone confirmed to have COVID-19. *

Yes