name_of_organization_you_are_re
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name of Organization You Are Representing (N/A if an individual), type: esriFieldTypeString
)
organizationemployer_address_or
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Organization/Employer Address OR Home Address if an individual, type: esriFieldTypeString
)
city
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: City, type: esriFieldTypeString
)
email_na_if_you_dont_have_an_em
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Email (N/A if you don't have an email), type: esriFieldTypeString
)
i_agree_to_receive_email_notifi
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: I Agree to Receive Email Notifications From Isanti County Public Health Regarding COVID-19 Vaccination at the Email Provided Above, type: esriFieldTypeString
)
additional_information_you_woul
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Additional Information You Would Like to Provide, type: esriFieldTypeString
)
county
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: County, type: esriFieldTypeString
)
are_you_interested_in_being_on_
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Are you interested in being on our “vaccine no waste list”? (you must be able to respond within 15 minutes of receiving a phone call. This list will only be utilized if we have additional doses to use after a clinic), type: esriFieldTypeString
)