Health Clearance Pre-Registration Request

All CUNY visitors are required to register with CLEARED4 and provide proof of full vaccination. Please fill out this form providing your name, email and date of event so a link can be sent to you with instructions on how to register with CLEARED4. For any questions or issues regarding this form please email paoffice@hunter.cuny.edu.

Name (One name per attendee, the same name cannot be used twice) * First Last
Email *
Phone * - ### - ### ####
CUNY Affiliation *
Event you plan on attending *
Location of event (if known)
Date of the event you plan to attend (Do not put today's date) * / MM / DD YYYY
Time of event * : HH MM AM/PM