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Lifespring EOI Form 11th April 2021
Please fill this Expression of Interest Form to indicate your attendance for the Sunday Service.
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* Indicates required question
Full Name
*
Your answer
Contact Number
*
Your answer
Email
Your answer
Do you wish to attend the Malayalam Service @ 8:45am?
*
Yes
No
How many people including yourself and dependents are you registering for the Malayalam Service?
*
Choose
No one
1
2
3
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5
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7
8
9
10
Do you wish to attend the English Service @ 11:00 am?
*
Yes
No
How many people including yourself and dependents are you registering for the English Service?
*
Choose
No one
1
2
3
4
5
6
7
8
9
10
For the question above
Please inform church leadership if you would like to attend both Malayalam and English Services as we have a limited seating capacity.
Screening Questions - Please answer for yourself, your family and all dependents
*
I have current/new/recent onset symptoms consistent with COVID-19
I have returned from overseas in the past 14 days
I have been identified as a close contact of a confirmed case of COVID-19 and am in quarantine
None of the above
Required
I have read and understand the correct use of PPE and hand hygiene as explained in DHHS website related to staying safe - Covid-19
*
Accept
Required
Covid Safe Practices
These practices can be found here:
https://www.dhhs.vic.gov.au/staying-safe-covid-19
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