College In-Person Event Registration Form

Register attendees for an in-person college event by collecting student identification, contact details, and a signed health declaration.

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Student Name

Nombre

Apellido

Student ID Number

Student Email

Cell Number

COVID-19 Health Screening

I confirm that I am not presenting any of these COVID-19 symptoms: shortness of breath, coughing (wet or dry), sore throat, runny nose, and loss of taste or smell.

Yes No

I confirm that I have not been in contact with anyone who has been diagnosed with COVID-19 within the past 14 days.

Yes No

I verify that I have not traveled to countries or any areas of concern and contracted COVID-19 within the last 14 days.

Yes No

Signature

Sign here

College In-Person Event Registration Form

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