Conference Substitution Request Tell us about yourselfinformation for the person making this requestCompany*Name* First Last Business Email* Who is the current registrant?Current Attendee Name* First Last Who is joining us now?New Attendee Name* First Last New Attendee Business Title*New Attendee Business Email (email domain must match member company)* New Attendee Business Phone*New Attendee's Admin Email Is this individual a first time attendee?*YesNoAny dietary restrictions or other needs we should be aware of?Emergency Contact Name* First Last Emergence Contact Phone*Event Data Disclosure Agreement & Code of Conduct*view the Event Data Disclosure Agreement & Code of Conduct Yes, I have read and agree to the NASCIO Event Data Disclosure Agreement and Code of ConductCOVID-19 Liability Waiver*view the NASCIO COVID-19 Liability Waiver Yes, I have read and agree to the NASCIO COVID-19 Liability WaiverProof of COVID-19 Vaccination/Negative COVID-19 PCR Test*At check-in, all attendees are required to provide proof of COVID-19 vaccination or a negative PCR COVID-19 test taken within 72 hours of arrival upon check-in at the 2021 Annual Conference. view full details Yes, I understand that I must provide proof of vaccination or a negative PCR COVID-19 test taken within 72 hours of arrival upon check-in at the 2021 Annual Conference
