AAOMS Vaccination Attestation Form | AAOMS

AAOMS Vaccination Attestation Form

Additional Content

AAOMS is requiring attendees and participants of upcoming events to attest they are fully vaccinated for COVID-19.

Title of course or event(s)*

First name of participant/attendee*

Last name of participant/attendee*

Email address*

Member/registration ID

I attest I will be fully vaccinated for COVID-19 at the time of the event(s) named above. *

Yes
No

If no, I understand my registration at this event will be canceled.