GTHL Vaccination Policy Accommodation Request Application
Applicants Name
First Name
Last Name
Contact Email
*
example@example.com (for applicants under 18 please submit parent/guardian's email)
Applicants Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Accomodation Request (The appropriate Application Form can be dowloaded at https://www.gthlcanada.com/covid-19-accommodation-forms/ )
*
Please Select
Medical
Religious/Ontario Human Rights Code
Please upload either of the following forms: ) Request for Medical Accommodation form regarding GTHLCOVID-19 Vaccination Policy; or 2) Request for Creed/Religion Accommodation form regarding GTHL COVID-19 Vaccination Policy. You may also include any other information you would like considered with your application.
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