CBST COVID-19 Self-Screening Form

Contact Information

Hello and welcome to CBST!

In order to keep our community safe, CBST requires anyone who wishes to enter the building, to be fully vaccinated and able to provide proof.

The CDC considers a person to be fully vaccinated:

  • 14 days after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or
  • 14 days after a single-dose vaccine, such as Johnson & Johnson’s Janssen vaccine
If you do not meet these requirements, then you are not fully vaccinated and should not proceed.


If you are fully vaccinated, please complete the following COVID-19 self-screening form by 11AM on the morning of your visit. The results will be clear in determining whether you are eligible, or not, to enter the building. The names of those who pass the self-screening will be placed on a list at the door with security.

 

We look forward to seeing you in person.

 

The CBST Board of Directors, Clergy & Staff







Questions:





*** If you answered "Yes" to any question other than question #1, please do not enter our building and consult with your healthcare provider.