Player Vaccination Submission (Windsor AAA Zone)

ALLIANCE HOCKEY Digital Network

Print Player Vaccination Submission
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: yo[email protected]. Your submission will be sent to this address.
Human Validation