Pooja Booking Please enable JavaScript in your browser to complete this form.COVID-19 Questionnaire:Before we schedule your service, for the safety of other devotees and our employees, let's first get these screening questions answered. Please answer these brief COVID-19 questionnaire for the person(s) attending the service. All fields are required.Have you or anyone in your household had any of the following symptoms in the last 21 days: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit? *YesNoHave you or anyone in your household been tested for COVID-19? *YesNoHave you or anyone in your household traveled outside the U.S. in the past 21 days? *YesNoHave you or anyone in your household came in contact with someone who has come from India in the past 21 days? *YesNoDo you have any reason to believe you or anyone in your household has been exposed to or acquired COVID-19? *YesNoTo the best of your knowledge have you been in close proximity to any individual who tested positive for COVID-19? *YesNoHave you or anyone in your household received treatment in a hospital in the past 30 days? *YesNoSorry, we are unable to schedule your appointment.We are unable to schedule appointment for you at this time due to your potential risk for spreading COVID-19.Please enter puja/service details below:Your Name *Your Email *Your Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you a current Poshaka / Life Member / Trustee ? Please check applicable *Poshaka of current yearLife MemberTrustee of current yearNonePlease check temple-open timings. Please note that your temple visit needs to be pre-scheduled through our website prior to your visit.Pooja / Service Type: *Temple EventPersonal Pooja/ServiceDarshanOtherPlace of Pooja to be performed: *At TempleAt HomeOutside of Shelby CountyPooja / Service Details: *Date / Time of Service *DateTimeNumber of Attendees (include family members only and kids older than 3 years) *123456789101112131415None (Virtual / Phone)For personal puja at Temple, you can invite up to 10 guests by providing proof of COVID-19 vaccination. For personal puja at Home, only family members need to present during the service. Preferred Priest *No PreferenceSri Satyanarayana CharuluSri Venkata Krishna Sai SwarnaSri Pradeep Kumar DeeviSri Naga PrasanthSri Raghuram AgnihotramSri Bala Ganesh GanjamFor all personal services, ICCT will require all attendees of age 12 and above to be fully vaccinated for COVID-19. Have you received the covid vaccine? *YesNoCOVID-19 Vaccination Reports (Required for for all personal services): Click or drag files to this area to upload. You can upload up to 15 files. Please upload the vaccination reports of family members and guests attending the service. You can also email the reports to register@icctmemphis.org.NameSubmit