Vaccination Form

Please fill out the form below to inform the GTCYS office of your student’s COVID-19 vaccination status.

Student Name(Required)

First Last

Will this student be fully vaccinated against COVID by Monday, July 19?(Required)

This information will guide GTCYS’ masking policy and COVID protection protocols for summer programs.

Yes

Prefer not to say

Other

How old will this student be by Monday, July 19?(Required)

Please enter a number from 6 to 18.

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