Youth Group Weekly Pre-Check

Please let us know if you are planning to join us for Youth Group in person or virtually from 6:30-8:00 PM.

Masks, a temperature check, and a health screening are required upon building entry. Masks are also needed outdoors when social distancing is not possible. Please limit restroom use at one family unit at a time.

Fill out the form below to RSVP and answer health screening questions.

Today's Date / MM / DD YYYY
Name * First Last
Email *
Phone - ### - ### ####
Grade (6th-12th only, whether in-person or virtual) *
I am planning to attend...
In Person at 6:30 PM Virtually at 6:30 PM
I agree to comply with all COVID-19 related precautions taken, such as wearing a mask indoors, temperature check, sanitizing, foot traffic patterns, physical distancing (even if you've been with someone outside of youth group), as well as any other measures deemed necessary by leadership during the night. *
Yes, and with a smile on (even under the mask!) :)
Review these health screening questions for you and those coming with you.

1. Have you traveled outside of NJ in the last 2 weeks to a hotspot?
Check hotspot states at: https://stonecrestchurch.com/hotspots

2. Have you experienced any of the following symptoms in the past 48 hours: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea?

3. Within the past 14 days, have you been in close physical contact (6 feet or closer for at least 15 minutes) with a person who is known to have laboratory-confirmed COVID-19?

4. Are you isolating or quarantining because you may have been
exposed to a person with COVID-19 or are worried that you may be sick with COVID-19?

5. Are you currently waiting on the results of a COVID-19 test based on symptoms you experienced?
Please respond to the questions above for yourself and those coming with you. *
Yes to any of the questions No to all five
If you say YES to any of the questions, we ask that you refrain from coming to the Stonecrest property and join us remotely until you can say NO. If you fail a health screening upon arrival, you must coordinate transportation home immediately.

Thank you for your cooperation.
In the event that someone passes a health screening at youth group, but tests positive for COVID-19 afterward, you may use this information to notify me. *
YES

Youth Group Weekly Pre-Check

Youth Group Weekly Pre-Check

Review these health screening questions for you and those coming with you.

If you say YES to any of the questions, we ask that you refrain from coming to the Stonecrest property and join us remotely until you can say NO. If you fail a health screening upon arrival, you must coordinate transportation home immediately.