COVID Vaccination Collection (Kingston Area Minor Hockey Association)

Print COVID Vaccination Collection
Please complete this form to provide proof of completed 2 dose. As per OMHA Vaccination policy all affected persons (coaches, players, volunteers, on ice helpers) born in 2009 or earlier must be fully vaccinated (completed 14 days after their 2nd dose) by October 31st to be eligible to play this season. If you have applied for and received an exemption from OMHA we require that proof as well
Contact information
  1. RadDatePicker
    Open the calendar popup.
  2. Example: ###-###-#### x###
  3. Indicate if you are bench staff or player or Board Member
  4. chose your division, example U11 or Board Member
  5. indicate the team you are on example, 503 for House League or U11AA for competitive team
Vaccination Confirmation
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 5. Maximum File Size: 4MB.
    Please attach your proof of vaccination or letter of exemption. If you have only 1 dose completed add it and return to this form to provide your second dose confirmation once completed
  1. I agree that the above information is correct and that I have read the OMHA Vaccination Policy for the up coming season.

    I acknowledge that if I am granted accommodation from OMHA I must undergo regular COVID-19 testing and must provide evidence to their Association, as applicable, of a negative test taken as stated per the most recent OMHA vaccination policy prior to each Sanctioned Activity (games, practices, tournaments or any team functions)

    You can find the OMHA document by OMHA Vaccination Policy
Human Validation