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CLSEI: Negative COVID Test Attestation for 10/10-10/12 Joint Health + Education Humboldt County Site Visit

To help keep CLSEI staff, participants and hosts healthy, please confirm you have taken a COVID test with a negative result 48-72 hours ahead of this in-person site visit.  
1.Please enter your first and last name.(Required.)
2.Cohort?(Required.)
3.Please enter today's date.(Required.)
4.I attest that I:(Required.)
Thank you for completing this survey.