Vaccination Information 2021 (Mooretown Minor Hockey)

Vaccination Information 2021
Please fill out all sections & upload either a screen shot or scan of your proof of 2nd COVID vaccine. Your records will be kept confidential and only the MTMHA rep collecting will have access to them.

Information

MTMHA Position

Please use the drop down menu to identify as either a player, executive member or pick the appropriate age group (coach, manager, trainer etc)

1st Vaccine Info

If you have had both vaccines please skip this section & fill out the section below. If you have only had 1 please fill out this section.

Proof of 2nd Vaccine

Please upload your proof of 2nd vaccine. This information is kept confidential & not shared with anyone other than the person collecting on behalf of MTMHA.