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Vaccine Upload
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Vaccine Upload
Where a CCA function requires proof of vaccination, this form will allow members and their partners to upload their cards which will then be available to event organizers.
Once this need is passed, these records will be deleted.
Member Name
Enter the member's name, last followed by first, to locate your online profile.
The name should appear below the space. Click on it to select it.
To upload a spouse card, find the member and click "spouse" below.
This is for
self
spouse
Vaccine Type
Pfizer
Moderna
J&J
Other…
Enter other…
Have you had a booster shot?
- Select -
Yes
No
Date of most recent injection
Card Image Upload
One file only.
100 MB limit.
Allowed types: gif, jpg, png, jpeg, bmp, eps, tif, pict, psd, pdf, doc.