Check In – Beit HaMashiach

User Access Registration

Please enter contact details. In the event of a confirmed case of COVID-19 at this venue, VIC health may contact you using the details below. Records are destroyed after 28 days.

First Name *

Last Name *

Email Address *

Phone Number

Number in Group (Household Members)

If you are coming as part of a group that lives in the same premise please fill in this field. Otherwise, leave blank.

Date

Time

I would like to be kept informed about Beit Hamashiach

Yes, please email information of Beit Hamashiach

If you are human, leave this field blank.