In-Person Registration for Reconciling Churches Meeting

Sunday, May 23 from 1:30-2:30pm at Grace (4121 Junius St. Dallas, TX 75246)

For those unable to attend in-person - register via zoom by clicking below

Zoom Registration Link

Name(s) of Person(s) Attending

Please list first and last names of each person in your party attending

Number of Persons Attending

How many people will be attending, including yourself?

Have you or anyone in your household had close contact with anyone who has tested positive for COVID-19 in the past 10 days?

Yes

No

Have you or anyone in your household experienced any Covid related symptoms, including the following...

Feeling feverish or a temperature greater than or equal to 100* F Loss of taste or smell Cough Difficulty breathing Shortness of breath Headache Chills Sore throat Shaking or exaggerated shivering Significant muscle pain or ache Diarrhea

Yes

No

Name of church you attend/are a member of?

For potential need of contact tracing

Email

For potential need of contact tracing

Phone Number

For potential need of contact tracing