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Gathering 2021 Health Questionnaire

  • 10 Sep 2021


Registration is closed


This questionnaire is in the form of an event that you need to register for, so that we can easily ask you questions. It is intended ONLY for those who have already registered for the Gathering.

Please fill out this form completely. 

We will be asking for a copy of your CDC card to verify your vaccination status. Please have an image ready before starting the "registration" process.

To Upload: 
  • Click on Choose files
  • Navigate to the location where you have stored the CDC Image
  • Click Open (or OK)
  • You will see a tiny image
  • If you wish to cover up your date of birth on the image before uploading, that is acceptable.
    • Suggested methods include editing after snapping the picture, or using a post-it note before.
  • No data is shared with any entity or collected for any other purpose.
  • Contact us if you have difficulty uploading a copy of your card. Failure to do so will result in cancelation of your registration.

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