Media Registration Form

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Type of Media Outlet

Registration and attendance at, or participation in, Eyecelerator@ASCRS 2021 constitutes an agreement by the registrant to the use and distribution (both now and in the future) of the registrant or attendee’s image or voice in recordings, photographs, videotapes, electronic reproductions of such events and activities by Eyecelerator. Attendees agree to release their contact information, including demographics, as captured during the registration process.

 

An inherent risk of exposure to the COVID-19 virus exists in any public place where people are present. COVID-19 is an extremely contagious disease that can lead to severe illness and death. Eyecelerator has taken enhanced health and safety measures in compliance with CDC guidelines and state and local regulations. This is to protect you, our other members and attendees, and our staff. Let’s all work together to keep each other healthy. You must follow all posted instructions and signage while attending Eyecelerator meetings and events. You voluntarily assume all risks related to exposure to COVID-19 when attending Eyecelerator meetings and events.

For EU Registrants Only
A full data usage and privacy policy can be found here. It describes how your data may be used by Event Organizer to develop your business relationship. Please check “I agree” to accept this Privacy Policy or “Do Not Agree” to stay Opted Out.

EU registrants select one:

Thanks for submitting! Check your inbox (or spam) for a confirmation letter or contact media@aao.org for more information