ASCCC Fall 2021 Plenary - Covid19 Attestation (Liability Waiver)

ASCCC 2021 FALL PLENARY SESSION
WESTIN LONG BEACH, LONG BEACH, CA. | NOVEMBER 4-6, 2021

COVID-19 SAFETY PROCEDURES
In order to keep our event attendees healthy and to comply with state and local rules for event participation, we require that all attendees follow the state’s requirements for safe attendance practices including social distancing, wearing a mask at all times, and use of hand sanitizer.

Question Title

* 1. Address

Full Name

College

Email Address

Phone Number

Question Title

* 2. Have you received a COVID 19 vaccination? (If you select yes, you must be able to show proof, if requested from ASCCC Staff, via a vaccination card or health record from your care provider.)

Yes