LIFE CHANGERS INT'L WORLD MINISTRIES
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Survey for Attendance During COVID-19
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Are you comfortable returning to church?
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Yes
No
Maybe
None
If No, Please explain
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Do you need a mask provided?
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No, I have my own.
Yes, I do not have a mask to wear
I don't wear a mask and will sign a waiver to release Life Changers International World Ministries of Liability if any reason I become infected with the COVID-19 VIRUS
NONE
We will be practicing social distancing. This includes staying within the confines of 50 or less people in one setting abiding by the CDC rules and government regulations. Do you hereby understand and agree as a Life Changer you are liable in regards to maintaining your health concerns and that Life Changers is not held liable for and neglect or carelessness of any and all who do not follow guidelines that pertain to the CDC, Government, State and Local instructions that are enforced.
*
I understand and agree
I do not understand or agree
NONE
Submit
Home
Our Mission
Meet Our Pastor
Media Page
Online Giving
Volunteer OPERATION REACH 2021
Prayer Request