• MM slash DD slash YYYY
  • :
    In the past 48 hours, have you experienced any of the following symptoms that is not normal for you: 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, or diarrhea?
    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 or with anyone who has any symptoms consistent with COVID-19?
    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?
    Are you currently waiting on the results of a COVID-19 test?
  • Verification of Vaccination is required for entrance into Westwood Baptist Church. You can email your card or be prepared to show it when you arrive at the church.