UConn Tech Park Safety Video Confirmation Form

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Innovation Partnership Building tour participants must watch the UConn Tech Park Safety Video before their visit. Please provide the requested information below, check the box to confirm you have viewed the video, and submit the form.

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Tour Date(Required)

Tour Guide or Host(Required)

Affiliation/Organization(Required)

Confirmation(Required)

I have reviewed the IPB Safety Video and agree to abide by its requirements.

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Name

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