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Church Services User Agreement Form

When attending the Vine Church I agree to follow the following as detailed more fully in our Coronavirus Action Plan.

Entry to the building. We would like to request that you take a lateral flow test on the morning before a service and not attend if it is positive. Everyone without symptoms should test themselves twice weekly with free lateral flow device tests (LFD) to help stop the spread of COVID-19.
I will ensure I do not enter the building if the answer to any of the following questions is YES:

Do you have a new or continuous cough?

Do you have a high temperature? (“A high temperature is feeling hot to the touch on your chest or back (you don’t need to measure your temperature). You may feel warm, cold or shivery.” )

Do you currently have a loss of taste or smell?

Have you been in contact with someone with the above symptoms and been asked to self-isolate, or been in contact with a confirmed case of Coronavirus?

2. I will ensure I follow hygiene measures as detailed below to help prevent spread of Coronavirus:

Perform hand hygiene regularly using soap and water or alcohol based hand rub particularly before and after eating.

Washing hands with liquid soap and warm water

Hand hygiene using Alcohol Based Hand Rub (ABHR)

Avoid touching eyes, nose and mouth with unwashed hands.
Avoid direct contact with people that have a respiratory illness wherever possible.
Avoid using personal items (e.g. mobile phone) of people that have a respiratory illness wherever possible. Cover the nose and mouth with a disposable tissue when sneezing, coughing, wiping and blowing the nose. Dispose of all used tissues promptly into a waste bin. If you don’t have any tissues available, cough and sneeze into the crook of the elbow. Wash hands at the first opportunity.

3. I will follow the one-way system in place at the Vine Church and I will follow the guidelines for use of toilets (no more than 2 ladies/ one gent to use the toilets at one time)

4. I will ensure I keep 2m social distancing at all times within the Vine Church building.

5. If someone develops Coronavirus symptoms I will respond quickly as detailed in Action Plan and I will inform the Vine Conference Centre manager immediately.

6. I will ensure I wear a Face Covering at all times within the Vine Church building. The band on stage during rehearsal and filming will not be required to wear a face mask but must ensure all other mitigation measures are followed. I will follow the advice given on Face Coverings*:

wash your hands thoroughly with soap and water for 20 seconds or use hand sanitiser before putting a face covering on, and after removing it
it should cover your nose and mouth
when wearing a face covering, avoid touching your face or face covering, as you could contaminate them with germs from your hands
change your face covering if it becomes damp or if you’ve touched it
continue to wash your hands regularly
change and wash your face covering daily
if the material is washable, wash in line with manufacturer’s instructions. If it’s not washable, dispose of it carefully in your usual waste
practice social distancing wherever possible

7. I will ensure no provision of or sharing of food on the premises.

8. I have assessed the demographics of my group as detailed in Vine Conference Centre Coronavirus Plan and am fully satisfied that it is safe for my event to go ahead for example for those over 70 and those from BAME backgrounds.

9. I will ensure all attendees are registered on Vine Church Registration form online or printed off and the form is handed to Mr Tim Thomson, Vine Conference Centre manager.

Customer Details Test and Protect doc

Customer Details Test and Protect.pdf

Here’s a copy of our Test and Protect Collection of Personal Data – Privacy Notice

*Face coverings

In line with other public indoor spaces, from 8 August face coverings must be worn within places of worship. For these purposes, a face shield is not considered to be a face covering.

Worshippers must wear a face covering at all times while they are within the place of worship.

Where essential to the act of worship, briefly removing a face covering to consume food or drink is permissible.

Other exemptions to the wearing of a face covering, including for health reasons, can be found in the guidance on the use of face coverings.

The wearing of face coverings must not be used as an alternative to other precautions including physical distancing, hand washing and respiratory hygiene.

Please sign Agreement Form:

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone Number(Required)

Signature(Required)

Date(Required)

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