Stamford Youngtimers-Vaccination Status
Please fill out this form regarding your daughter(s)' COVID vaccination status. Information is kept private and will only be used to determine if a quarantine is needed if there is an exposure after a positive COVID test on a team.
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My player/coach has received the COVID vaccination (Check all that apply) *
Required
Date of First Shot (completed or scheduled)
MM
/
DD
/
YYYY
Date of 2nd Shot (Completed or scheduled)
MM
/
DD
/
YYYY
Player or Coach Name (First & Last Name) *
The player/coach participates in (Check all that apply) *
Required
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