Volunteer Vaccination Submission (Windsor AAA Zone)

Volunteer Vaccination Submission

This form is to be used by all NON players - coaches, trainers, helpers

Enter information below.

Enter First Name^*

Enter Last Name?^*

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

Choose the team that you plan on assisting with this season?

Choose your team

Please answer the questions below.

Have you had your first dose of an approved COVID-19 Vaccine?^*

YESNO

Have you had your second dose of an approved COVID-19 Vaccine?^*

YESNO

Have you been granted a vaccine exemption from ALLIANCE Minor Hockey based on medical or creed/religious purposes?^*

YESNO

Please upload your Dose Receipt or ALLIANCE Approved Exemption Form.

Please upload a copy or picture of the front of your Ontario Health Card

Allowed extensions: .jpeg, .jpg, .png, .gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.

Please upload the proof of your vaccination - DOSE #1.

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.

Please upload the proof of your vaccination - DOSE #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.

Please upload your approved ALLIANCE Vaccine Exemption Form.

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.

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

Please provide email address to receive proof of form submission.

Example: yo[email protected]. Your submission will be sent to this address.