PROOF OF VACCINATION ATTESTATION FORM

2022 Ontario Youth Championships

March 11-13, 2022

This form is to be completed individually by TWO members of a Club ONLY who represent their Club as any of the following:

• Coach Designate
• Team Captain
• Club Executive member
• Club Official

Review your Club's participant names on the event's CONFIRMATION LIST before proceeding.

Refer to the RACE NOTICE for more information.

Deadline to complete: Tuesday, March 8, 2022, 11:59 PM.