Please select type of pew from drop down list above.
Capacities for pews: Household Pew-3 to 7 people, Couple Pew-2 people, Single Pew-1 person
Please select the date of Worship you would like to attend from the Calendar.
Pre-registration will take place from 8am Monday through noon on Friday of the week before the worship service.
Number of people in your group:
Your Name (required):
Names of others in Group (required, type none for single pew):
Email (required):
Address (required, Street, City, State):
Phone: (required):
Does anyone in your group need to use the elevator?: (required):
COVID-19 SCREENING QUESTIONS FOR ALL PEOPLE ENTERING THE CHURCH BUILDING
I agree to answer screening questions and adhere to all safety protocols: (required):
In the past 7 days have you or anyone in your household had new onset of:
Cough: (required):
Shortness of breath: (required):
Fever: (required):
Chills: (required):
Sore throat: (required):
Headache: (required):
Muscle pains: (required):
Fatigue: (required):
Loss of taste or smell: (required):
Diarrhea, nausea or vomiting: (required):
In the past 14 days have you or anyone in your household had new onset of:
Tested positive for COVID-19 (SARS-CoV-2)?: (required):
Been advised to stay home by a medical professional due to suspected COVID-19?: (required):
Been in contact with anyone with COVID-19?: (required):
If Traveled outside of Connecticut, please list the states?: (required, If you have not traveled type none):
Additional Information: