NAPAHE2022 Health & Safety Documentation

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.

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* 1. What is your first name?

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* 2. What is your last name?

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

Date / Time

Date

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

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

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

When uploading a vaccination record, please rename it as follows: First Initial. Last Name (Example: A.Smith)

PDF, PNG, JPG, JPEG file types only.

Choose File

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

When uploading an exemption, please rename it as follows: First Initial. Last Name (Example: A.Smith)

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.