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COVID Vaccination Documentation Upload Form

Please complete this form once in 2022 for each member of your family that intends on participating in in-person Kadima events or meetings.

Contact Information
*

First Name
Last Name


*

Please upload a digital version of your COVID vaccination documentation

First Name
Last Name


First Name
Last Name


First Name
Last Name

Privacy Policy
All COVID vaccination or exemption information will be kept private, and only be used for the purposes of checking congruence with Kadima COVID policy regarding in-person gatherings.