Event Details & Registration

*First Name

*Last Name

*Email:

*Phone Number:

Have you had close contact within the last 14-days, with someone who is currently sick with suspected or confirmed COVID-19?

Yes

No

Have you had a fever in the last 14 days (Temperature at or above 99.9)?

Yes

No

Have you traveled outside of the state (to any area considered a hot spot) within the last 14 days?

Have you traveled outside of the country within the last 14 days?

**By checking this box, I acknowledge that 1) my attendance at JTOPNashville is voluntary & my choice 2) JTOPNashville & its counterparts are not liable if I develop any symptoms of COVID-19

I Acknowledge