JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NYC Area Hash Registration
We're taking attendance and making sure we have contact info for everyone for precautionary reasons. You know... the pandemic.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Date of Hash/Trail Attending?
*
(Stop putting your date of birth nitwits 🤦)
MM
/
DD
/
YYYY
Vaccination Status
*
https://www.vaccines.gov/
I have been vaccinated
Required
COVID Symptoms
*
https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html
I do not currently have COVID-19 symptoms and have not been in close contact with someone who has tested positive for COVID-19
Required
What's your Hash name?
*
Please put "Just _<first_name>_" if you haven't been named
Your answer
First Name?
*
We need your nerd name
Your answer
Last Name?
*
We need your nerd name
Your answer
Phone Number?
*
Format 123-456-7890
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms