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COVID-19 VACCINATION CERTIFICATE

Email*
Member 1 Name*
First Last
Club Involvement*
Patrol (if relevant)*
Vaccination Status*
Member Document Upload of COVID Vaccination or Medical Exemption*
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 8 MB.
Please provide COVID-19 Vaccination certificate this will deleted once sighted. Document will not be kept in database.
Date
DD slash MM slash YYYY

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