VMHA Visiting Team Vaccine Pre-Check Form

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The following form is required to be completed by the team manager of any visiting team to a game being played at a Vancouver Park Board arenas (Britannia, Killarney, Trout Lake) or the PNE Agrodome

Email *

Date of Game *

YYYY

VMHA Team Playing Against *

Your Association *

Your Team (i.e. U13C1, U13A2) *

Team Manager's Name (first and last) *

I confirm that all spectators 12 years and older and team officials who will be attending the game on the date above, will be fully vaccinated as required by the current PHO requirements *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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