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COVID-19 Vaccination Status Submission

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 [email protected] if you have any questions regarding the form.

Scholar Grade*
Answer Required
Please attach proof of COVID-19 vaccination here.*
Answer Required
or drag it here.
Confirmation Email