OFFICIALS - ON ICE AND OFF ICE VACCINE CONFIRMATION (Waterloo Minor Hockey)

ALLIANCE HOCKEY Digital Network

OFFICIALS - ON ICE AND OFF ICE VACCINE CONFIRMATION
TO BE COMPLETED BY TIMEKEEPERS AND ON ICE OFFICIALS ONLY!!!

Personal Information

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Role with WMHA Officials

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VACCINE INFORMATION

Please answer the questions below.

Proof of Vaccine or Exemption

Please upload your Dose Receipt or ALLIANCE Approved Exemption Form.

Confirmation

Please provide your email address to receive confirmation of form submission.