Self Register Disclaimer – Global Circle

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Reparations & Racial Healing Summit

Kempinski Hotel, Accra, Ghana

Disclaimer: By registering for the conference, all participants are agreeing to comply with the organizers COVID-19 related policies. Anyone who refuses to follow the COVID-19 related policies will be required to leave the conference without a refund and may be denied admission to future conferences. When registering for the Event, attendees and participants must agree that they will knowingly and voluntarily agree to the following:

I. Accept and agree to comply with the COVID 19 Health and Safety Protocols.

Yes No

II. Acknowledge and assume any risks and dangers associated with possible exposure to, or illness from COVID-19 and its variants while attending or participating in the Summit.

Yes No

III. To the fullest extent permissible by law or in equity, waive and discharge any and all liaibility, claims, and demands of whatever kind or nature against the organizers, their affiliates, vendors and sponsors, including without limitation, their directors, officers, employees, volunteers, and agents, including but not limited to illness, bodily injury, or other economic loss, which arise or may hereafter arise from my attendance or participation with the Event. While the organizers will strive to safeguard the health and safety of all those involved in the Summit and will make every reasonable effort to mitigate possible exposure to COVID-19 and its variants during Summit activities, the organizers cannot guarantee that attendees and participants in the summit will not be exposed to, or become sick from exposure to, COVID-19 or its variants.

Yes No

First Name

Last Name

Institution

Street Address

State/Country

Phone Number

Birthday

Day You Were Born

Dietary Restrictions and Food Allergies

Emergency Contact

Last Name

Phone Number

Emergency Contact Relationship

AUGUST 1-4, 2022

register

Reparations & Racial Healing Summit

Kempinski Hotel, Accra, Ghana

AUGUST 1-4, 2022

Kempinski Hotel, Accra, Ghana

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