Covid 19 - Registration Question Title * 1. Full Name Question Title * 2. Date of Birth (M/D/YYYY) Question Title * 3. We have two testing sites, which is the one that you want to register and time? Hermiston Site - August 22 from 9am-12pm Hermiston Site - August 22 from 12pm-3pm Milton - Freewater - August 23 from 9am - 12pm Milton - Freewater - August 23 from 12pm - 3pm Question Title * 4. Gender Female Male Other Prefer not to say Question Title * 5. Which of the following best describes you?- Select one answer Asian or Pacific Islander Black or African American Hispanic or Latino Native American or Alaskan Native White or Caucasian Multiracial or Biracial Race/ethnicity not listed Question Title * 6. Personal information to be contacted and registered to the event Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Done
