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VBS COVID-19 Vaccination Record Submission 

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Thank you for your partnership in ensuring the health and wellbeing of our VBS community. Please use this form to submit documentation of COVID-19 vaccination.

Please upload an official COVID-19 vaccination record for each adult in your family/party.

Please bring a copy of your vaccination record with you to all VBS school events as back-up (even if you have submitted it in advance online, or to any of the VBS schools, programs or synagogue directly).

Vaccination Record Upload 




Vaccination Status
**Fully Vaccinated - two weeks post second dose of Pfizer/Moderna vaccines, or two weeks post single dose Johnson & Johnson vaccine.


**More people in your family/party?  Click on 'Add Another Response' below (please complete for each person)