www.safertogetherharris.org
Open in
urlscan Pro
2a03:b0c0:3:d0::1440:1
Public Scan
URL:
https://www.safertogetherharris.org/
Submission: On August 29 via automatic, source certstream-suspicious
Submission: On August 29 via automatic, source certstream-suspicious
Form analysis
1 forms found in the DOMPOST
<form class="clearfix" method="post" novalidate="" action="" accept-charset="utf-8" autocomplete="on">
<div data-name="undefined" data-subview="submit_view" data-subview-index="1"></div>
<fieldset class="at-fieldset ContactInformation">
<legend class="at-legend">Sign up to be notified about new vaccination events</legend>
<div class="at-fields">
<div class="at-row FirstName LastName"><label class="at-text FirstName">First Name<input type="text" autocomplete="given-name" x-autocompletetype="given-name" required="" title="First Name (required)" name="FirstName" value="" maxlength="20">
</label><label class="at-text LastName">Last Name<input type="text" autocomplete="family-name" x-autocompletetype="surname" required="" title="Last Name (required)" name="LastName" value="" maxlength="25">
</label></div>
<div class="at-row at-row-solo PostalCode"><label class="at-text PostalCode">Postal Code<input type="tel" autocomplete="postal-code" x-autocompletetype="postal-code" pattern="^\d{5}([\-]\d{4})?$" required="" title="Postal Code (required)"
name="PostalCode" value="" maxlength="10">
</label></div>
<div class="at-row EmailAddress MobilePhone"><label class="at-text EmailAddress">Email <small>(Optional)</small><input type="email" autocomplete="email" x-autocompletetype="email"
pattern="^([\w!#$%&'*+\-\/=?\^`{|}~]+\.)*[\w!#$%&'*+\-\/=?\^`{|}~]+@((((([a-zA-Z0-9]{1}[a-zA-Z0-9\-]{0,62}[a-zA-Z0-9]{1})|[a-zA-Z])\.)+[a-zA-Z]{2,62})|(\d{1,3}\.){3}\d{1,3}(:\d{1,5})?)$" false="" title="Email" name="EmailAddress"
value="" maxlength="100" placeholder="email@email.com">
</label><label class="at-text MobilePhone">Mobile Phone<div class="intl-tel-input iti iti--allow-dropdown">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-0__item-us-preferred">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
</div><input type="tel" class="intl-phone-MobilePhone" name="MobilePhone" title="Mobile Phone (required)" data-intl-tel-input-id="0">
</div>
</label></div>
<div class="at-row at-row-solo SmsSubscribeMobilePhone"><input id="SmsSubscribeMobilePhone_Value" type="hidden" name="SmsSubscribeMobilePhone.Value" value="true"></div>
<div class="at-row at-row-solo at-row-full SmsLegalDisclaimer">
<div class="at-markup SmsLegalDisclaimer at-legal">
<p>By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages.</p>
</div>
</div>
<div class="at-row at-row-solo YesSignMeUpForUpdatesForBinder"><input id="YesSignMeUpForUpdatesForBinder_Value" type="hidden" name="YesSignMeUpForUpdatesForBinder.Value" value="true"></div>
<div class="at-row at-row-solo at-row-full UpdateMyProfile at-mode-person-only">
<div class="at-markup UpdateMyProfile at-mode-person-only">
<div class="updateMyProfileSection" style=""><label style="display:inline;"><input type="checkbox" name="updateMyProfile" checked="checked"><span><span class="text">Remember me so that I can use <i>Fast</i><b>Action</b> next
time.</span></span></label></div>
</div>
</div>
<div class="at-row "><label class="at-text PersonalUrl"> <small>(Optional)</small><input type="text" autocomplete="on" false="" title="" name="PersonalUrl" value="" maxlength="">
</label></div>
<div class="at-row ">
<div class="at-markup TrackingPixel" style="display: none;"><img alt="" src="https://secure.everyaction.com/v1/Track/lcpvBW3J5UCcQuN2VKfEFg2?formSessionId=74a154de-b2d1-41e5-815b-0759809d086b" style="display:none"></div>
</div>
</div>
</fieldset>
<fieldset class="at-fieldset AdditionalInformation">
<legend class="at-legend">Additional Information</legend>
<div class="at-fields">
<div class="at-row at-row-full CustomFormFieldQuestion_7715423961980557">
<div><label name="CustomFormFieldQuestion_7715423961980557" class="checkbox-list-label"> Sign me up for: <br>
<small class="checkbox-list-required-text" name="CustomFormFieldQuestion_7715423961980557-small" style="display: none"><b>Sign me up for: is required.</b></small>
</label>
</div>
</div>
<div class="at-row at-row-full CustomFormFieldQuestion_7715423961980557_CustomFormFieldQuestion_766509949844233_MappedActivistCodeQuestion_4888013">
<label class="at-check CustomFormFieldQuestion_7715423961980557_CustomFormFieldQuestion_766509949844233_MappedActivistCodeQuestion_4888013"><input type="checkbox" checked=""
name="CustomFormFieldQuestion_7715423961980557_CustomFormFieldQuestion_766509949844233_MappedActivistCodeQuestion_4888013"> <span class="at-checkbox-title-container"><span class="at-checkbox-title">Vaccine Alerts</span></span>
</label>
</div>
</div>
</fieldset>
<div class="at-form-submit clearfix">
<input type="submit" value="Submit" class="at-submit btn-at btn-at-primary">
</div>
</form>
Text Content
Safer Together EN ES Staged for review - not for public distribution WE ARE SAFER TOGETHER Find, share or request a vaccination event near you Alert Signup Sign up to be notified about new vaccination events First Name Last Name Postal Code Email (Optional) Mobile Phone By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages. Remember me so that I can use FastAction next time. (Optional) Additional Information Sign me up for: Sign me up for: is required. Vaccine Alerts SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Sign up with your email address Or sign up using Facebook or Twitter Already have a FastAction account? Log in By clicking "Log in," I confirm that I agree with the FastAction terms of service and privacy policy. × SHOW YOUR SUPPORT WITH A SINGLE CLICK Autofill forms quickly and securely with FastAction Log in with your email address Or log in using Facebook or Twitter Don't have a FastAction account yet? Sign up By clicking "Sign up," I confirm that I agree with the FastAction terms of service and privacy policy. × FOR INDIVIDUALS Getting vaccinated is FREE and does not require ID, proof of residency, citizenship, or insurance. People age 12 and older are currently eligible for COVID-19 vaccination. Minor side effects such as tiredness, headache, or chills are expected and normal signs that your body is building protection. FAQS What side effects should I expect after being vaccinated? The side effects from COVID-19 vaccination, such as tiredness, headache, or chills, may affect your ability to do daily activities, but they should go away in a few days. Minor side effects are normal signs that your body is building protection. Is there a cost for a COVID vaccine? No, the federal government is providing the vaccine free of charge to all people living in the United States, regardless of their immigration or health insurance status. Will anyone ask about my immigration status? No, vaccines are provided free of charge regardless of immigration status. Vaccine providers are not trained to ask this question. Do I need health insurance to receive a vaccination? No, vaccines are provided free of charge, regardless of your health insurance status. Can my 12-15 year old child receive the COVID-19 vaccine? Yes, all children ages 12-15 are eligible to receive the Pfizer BioNTech vaccine, provided there is parental or legal guardian consent and the child is accompanied by an adult. Will the COVID-19 vaccine protect me fully from COVID-19? While rare, breakthrough cases where fully vaccinated people get COVID-19 are possible, but fully vaccinated people are much less likely to experience a severe case. What should I know about the Delta variant? Data show Delta is different than past versions of the virus because it is much more contagious and people with breakthrough infections may spread it. With the Delta variant, vaccination is more urgent than ever. Wearing a mask in indoor public settings, regardless of vaccination status, helps protect you and everyone close to you. THIS SECTION IS FOR ORGANIZATIONS Submit your vaccination site/event Request a vaccination event