COVID-19 Vaccination Status Submission

Please complete the form below. Required fields marked with an asterisk *

If you have multiple scholars attending that are vaccinated against COVID-19,

you should submit one form per scholar.

This form is for 2021-2022 Proof of COVID-19 Vaccination. Please do not submit this form until your scholar is fully vaccinated against COVID-19. If your scholar has not been vaccinated, there is no need to complete this form.
Contact aboyd@theaskacademy.org if you have any questions regarding the form.