Well-Being Protocols

For the safety of all our attendees, all attendees must either (1) be fully vaccinated against COVID-19 and able to present proof of vaccination, or (2) present proof of a documented medical or religious exemption and a negative COVID-19 test taken within 48 hours prior to participating in any in-person NAPAHE2022 events.

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. On what date did you register for the 2022 NAPAHE Annual National Conference?

Date

Question Title

* 4. What is the email address associated with your conference registration?

Question Title

* 5. What is your preferred phone number in case we have questions?

Question Title

* 6. If you have a COVID-19 Vaccination Record Card, please upload it here.

PDF, PNG, JPG, JPEG file types only.
Choose File

Question Title

* 7. If you have a documented medical or religious exemption, please upload it here.

PDF, PNG, JPG, JPEG file types only.
Choose File
Exempted registrants (for medical/religious reasons) must submit proof of a negative COVID-19 test taken within 48 hours prior to participating in any in-person NAPAHE 2022 events. Test results should be submitted via email to contact@napahe.org.

This form is not affiliated with Western Washington University. 
0 of 7 answered
 

T