PROOF OF VACCINATION/EXEMPTION - SUBMISSION FORM- PLAYERS ONLY (Waterloo Minor Hockey)

Print PROOF OF VACCINATION/EXEMPTION - SUBMISSION FORM- PLAYERS ONLY
Please complete form and attach proof of vaccinations. Please also provide a copy of your Ontario Health Card. This form is for PLAYERS ONLY! If you are Coach or Bench Staff or Volunteer, please find a form under the "COACHES" tab for you to submit your information. ALL DOCUMENTS WILL BE REVIEWED AND THEN DELETED FROM OUR RECORDS.
Personal Information
Enter information below.
Team Affliliation
What team do you play for or plan to play for this upcoming season? Enter information below.
  1. Choose your team - if you don't know what team you are going to play for yet, choose the team you think you will be playing with or enter the age group you are registered with, in the next section.
  2. ie - U15
VACCINE INFORMATION
Please answer the questions below.
Proof of Vaccine or Exemption
Please upload your Dose Receipt or ALLIANCE Approved Exemption Form.
  1. Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
  2. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
    A Dose Administration Receipt from the Government of Ontario or Physician's Official Record are the only 2 acceptable forms of proof.
  3. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
    A Dose Administration Receipt from the Government of Ontario or Physician's Official Record are the only 2 acceptable forms of proof.
  4. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
    An approved ALLIANCE Exemption Form is the only acceptable proof of exemption.
Confirmation
Please provide your email address to receive confirmation of form submission.
  1. Example: [email protected] Your submission will be sent to this address.
NOTES
FOR OFFICE USE ONLY
Human Validation
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Printed from waterloominorhockey.com on Tuesday, October 19, 2021 at 11:06 PM