PCOS Symposium Registration Form

You may register up to five people through this secure online form at one time.
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PCOS Symposium Registration Form

TERMS OF PARTICIPATION
(Review and Initial Each Line Below)
WAIVER AND RELEASE
For in consideration of my participation in the PCOS Awareness Symposium (“Event”), I hereby, for myself, my heirs, administrators, and assigns, release and discharge PCOS Challenge, Inc. ("PCOS Challenge"), the venue, and all involved sponsors and their respective servants, agents, employees, officials, and officers, from any and all claims, demands, liabilities, loss, damage, and causes of action of any sort, including attorney's fees for injuries sustained to my person, persons under my care, or property incurred by reason of my participation or preparation for the Event due to negligence or any fault. I hereby grant PCOS Challenge specific permission to capture, modify, edit, reproduce, publish, circulate, copyright, or otherwise use any and all photographs, video recordings, or audio recordings of me and/or my family taken at the Event, for use by PCOS Challenge. I also consent to and permit emergency treatment in the event of injury or illness while participating in the Event. By initialing below, I signify that I have read and understood the foregoing Waiver and Release, and, if under the age of 18, have the consent of a parent or guardian to participate in the Event.


COVID-19 TERMS AND CONDITIONS
PCOS Challenge and the event venue, Convene CityView, take the health and safety of event participants very seriously. If you or anyone in your party are experiencing any COVID-19 symptoms, you cannot attend the in-person event but you will be able to join virtually. You will only be allowed to attend the in-person event if you have been fully vaccinated and will be wearing a mask. People are considered fully vaccinated: 2 weeks after their second dose in a 2-dose series, such as the Pfizer or Moderna vaccines, or 2 weeks after a single-dose vaccine, such as Johnson & Johnson’s Janssen vaccine. Per the CDC, if you have a condition or are taking medications that weaken your immune system, you may NOT be fully protected even if you are fully vaccinated. Talk to your healthcare provider. Even after vaccination, you may need to continue taking all precautions.


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