PROOF OF VACCINATION/EXEMPTION - COACHES/BENCH STAFF/VOLUNTEERS ONLY (Waterloo Minor Hockey)

ALLIANCE HOCKEY Digital Network

PROOF OF VACCINATION/EXEMPTION - COACHES/BENCH STAFF/VOLUNTEERS ONLY
Please complete the form and upload the applicable documentation, as outlined. THIS FORM IS FOR ROSTERED BENCH STAFF AND VOLUNTEERS ONLY! All documentation uploads will be reviewed and deleted.

Personal Information

Enter information below.

Team Affliliation

What team will you be rostered to this Season or volunteering with?

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.

NOTES

FOR OFFICE USE ONLY