2021 Annual Conference Vaccination Declaration

Please complete by September 24.

First Name *

Last Name *

Email Address *

School/Org/Company *

Please select one: *

I am fully vaccinated.

I will be fully vaccinated prior to Oct 17, 2021.

I will not attend. Please refund my registration fee.

I will submit negative PCR test results administered within 72 hours of arrival -- either by email to learn@sais.org or in person at the conference registration desk.

Questions/Comments:

By signing your name below, you are agreeing that your signed name shall serve as your legally binding electronic signature and you are declaring that you are providing this information on your own behalf and that the information you have provided in this form is true and correct in all respects. You are further acknowledging that SAIS is relying on the information that you provide in this form and will use the information to determine whether you meet the requirements to attend the 2021 Annual Conference *

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