Register for Service/Event

Due to Covid-19 regulations in New York. We require all guests and members to register here before attending an in-house service service. We can’t wait to see you!

VERY IMPORTANT: If you are bringing adult guests please fill out this form for each of them as well.

First Name

Last Name

Phone Number

Number Of Children

Have flu-like symptoms (including cough, shortness of breath, fever (100°F. or higher), chills, headache),

Yes No

Have been diagnosed with, or have had close contact with anyone diagnosed with, COVID-19 within the last two weeks

Yes No

Reside or have had close contact with anyone who has been outside the country or in a State on the advisory watchlist within the last two weeks; or

Yes No

Have been directed to quarantine, isolate or self-monitor at home for the coronavirus by any doctor, hospital or health agency within the last two weeks;

Yes No

Have traveled outside the country, or traveled to another state on New York’s COVID-19 travel advisory watchlist (see https://coronavirus.health. ny.gov/covid-19-travel-advisory) within the last two weeks;

Yes No

Sunday Brunch is for members only, Are you a member of The Journey Church?

Yes No

The Journey Church of Buffalo NewYork