SoCal May Pre-Registration Safety Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Competitor's full name *

WCA ID (If this is your first competition / you do not have one, leave blank)

Vaccination / negative testing requirements

~~~~~~~~~~If you are registering for A Bruin Cube Day 2022 or Geffen Spring 2022~~~~~~~~~~
In order to enter the venue, we are requiring either (1) proof of being fully vaccinated for COVID-19, as defined by the CDC, or (2) proof of a negative COVID-19 test within 48 hours of the competition.

(1) The CDC defines "fully vaccinated" here: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html
(2) For negative tests, we accept both PCR and rapid tests.

~~~~~~~~~~If you are registering for Long Beach Spring 2022~~~~~~~~~~
In order to enter the venue, all competitors are required to provide proof of a negative COVID-19 test within 48 hours of the competition, regardless of vaccination status. For negative tests, we accept both PCR and rapid tests.

I agree to all of the following: *

I agree

I will bring no more than 1 guest.

I will be able to provide proof of vaccination/a negative test per the requirements above.

I understand that failure to provide proof per the requirements above will result in not being allowed to enter the venue.

I will wear my mask over my mouth and nose at all times inside the venue, including while competing.

I understand that refusal to wear a mask correctly inside the venue will result in disqualification from the competition and being asked to leave.

I will not come to the competition if I am experiencing symptoms of COVID-19.

I agree

I will bring no more than 1 guest.

I will be able to provide proof of vaccination/a negative test per the requirements above.

I understand that failure to provide proof per the requirements above will result in not being allowed to enter the venue.

I will wear my mask over my mouth and nose at all times inside the venue, including while competing.

I understand that refusal to wear a mask correctly inside the venue will result in disqualification from the competition and being asked to leave.

I will not come to the competition if I am experiencing symptoms of COVID-19.

(If applicable) my guest agrees to all of the following:

I agree

I will be able to provide proof of vaccination/a negative test per the requirements above.

I understand that failure to provide proof per the requirements above will result in not being allowed to enter the venue.

I will wear my mask over my mouth and nose at all times inside the venue.

I understand that refusal to wear a mask correctly inside the venue will result in being asked to leave.

I will not come to the competition if I am experiencing symptoms of COVID-19.

I agree

I will be able to provide proof of vaccination/a negative test per the requirements above.

I understand that failure to provide proof per the requirements above will result in not being allowed to enter the venue.

I will wear my mask over my mouth and nose at all times inside the venue.

I understand that refusal to wear a mask correctly inside the venue will result in being asked to leave.

I will not come to the competition if I am experiencing symptoms of COVID-19.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of World Cube Association. Report Abuse

Forms