Interlaken Covid-19 Vaccine Survey
Completing this survey is voluntary, and all information will remain confidential. We are asking you to share this information in the event someone is a close contact, knowing who is vaccinated helps us determine quarantine needs/mitigation of spread more quickly.

Please complete this form for your camper after they've received their second shot.  
Sign in to Google to save your progress. Learn more
Camper First Name
Camper Last Name
Date second vaccine received
MM
/
DD
/
YYYY
Which vaccine did the camper receive?
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Session Enrolled
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Grade camper is entering in fall 2021
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