Volunteer Vaccination Submission (Windsor AAA Zone)

Print Volunteer Vaccination Submission

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

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.

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

Proof of Vaccine or Exemption

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.

Confirmation

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.

Human Validation