The HRA Members Meeting will be held at the Beckman Center of the National Academies at 100 Academy Drive Irvine, CA 92617.
To prevent infection and spread of the COVID-19 virus, and as an integral measure toward the safety and health of everyone in our buildings, the National Academies require all individuals who enter our facilities to be up to date with their vaccinations against COVID-19 per CDC guidance. Visitors may choose to wear a mask or respirator but are not required to do so.

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* 1. I acknowledge the terms above.

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* 2. Name (as it appears on your government issued ID)

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* 3. Badge Name (as it should appear on your badge and participant list)

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* 4. Professional Role

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* 5. Organization

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* 6. Email Address

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* 7. Emergency Contact Name

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* 8. Emergency Contact Phone

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* 9. Is this your first in-person members meeting?

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* 10. Which day do you plan to arrive?

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* 11. Please indicate which days you plan on attending (check all that apply):

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* 12. Dietary Restrictions

HRA is committed to providing a friendly, safe, and welcoming environment for all, regardless of race, national origin, gender, gender identity, sexual orientation, disability, ethnicity, or religion. When registering, you will be promoted to let us know if there are accommodations we can provide to maintain an inclusive environment and one that is accessible to those with disabilities.
HRA is also committed to making our events accessible to everyone. If you require an accommodation or service to fully participate, please contact Annette@healthra.org at least 2 weeks prior to the event.  

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* 13. Accommodations Needed

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* 14. If yes, please describe

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