COVID (Blyth Brussels Minor Hockey)

Thank you for taking the necessary steps to protect everyone's health and safety.
  1. 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