Pre-screening Questionnaire

Pre-authorization is required for attendance at all in-person worship services.  Though you may receive the initial clearance, on-site screening and a temperature check are also required.  To help us prevent and slow the spread of COVID-19, please answer all questions as accurately as possible.

1. Within the last 2 weeks, have you had any of the following:      

Fever, cough, body aches, headaches, or any flu or cold-like symptoms?
New loss of taste or smell?
Contact with someone who was diagnosed with COVID-19?
2. Have you traveled within the last 72 hours?
3. Will other individuals accompany you to this worship service?
4. Has anyone that will accompany you to this service or event traveled within the last 72 hours?

If a visiting adult will accompany you to this service or event, please direct them to the Ignite website for pre-authorization (if possible). 

Thank you for registering. You’ll be notified with a decision at least 24 hours prior to the church service.

Stay safe and we look forward to worshipping with you soon!

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102 North St NW Leesburg, VA 20176 | info@igniteloudoun.com | Tel: 703 651 - BURN