Vaccination Proof (Blyth Brussels Minor Hockey)

Print Vaccination Proof
Information
Thank you for taking the necessary steps to protect everyone's health and safety.
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Example: ###-###-####
















  3. Check All That Apply






  4. Check All That Apply
  5. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
    Acceptable documents serving as evidence of COVID-19 vaccination include: a digital or physical dose administration receipt (record of 2nd does is sufficient), medical records signed by a licensed health care provider indicating vaccine name and date(s) of administration, government verification/language (eg. government issued vaccine passport or card).
Human Validation
Printed from blythbrusselsminorhockey.ca on Monday, November 29, 2021 at 9:15 AM