Proof of Vaccination Form
We are following government Covid-19 policies. Please fill out this form if you have proof of vaccination. If you would like to submit a negative PCR test or documents for medical exemption please contact the office at adventures@alpineclubofcanada.ca
Name
(First and Last)
E-mail
example@example.com
Mobile Number
Program you are registered for:
Please Select
AST 2 #3 (Jan 11-16)
Intro to Backcountry Skiing #3 (Jan 15-16)
Intro to Lead Ice (Jan 15-16)
Intro to Backcountry Skiing #4 (Jan 22-23)
Intro to Ice Climbing (Jan 29-30)
AST 1 #6 (Jan 5 field day)
AST 1 #7 (Jan 6 field day)
AST 1 BIPOC (Feb 19-20)
AST 2 #4 (Feb 22-26)
Crevasse Rescue Skills #3 (Mar 3-6)
Intro to Ski Mountaineering #1 (Mar 28-Apr 1)
Intro to Ski Mountaineering #2 (Apr 11-15)
Crevasse Rescue Skills #2 (Apr 28-May 1)
Intro to Sport Climbing (May 28-29)
Intro to Multipitch Climbing (Jun 11-12)
Climbing Photography Workshop (Jun 11-12)
Intro to Trad Climbing (Jun 18-19)
Rock Rescue (Jun 25-26)
Please upload a photo of your proof of vaccination. Photo must have QR code as well as your name and dates of both vaccinations or equivalent to what your home province uses. Please see photos below for an example from Alberta and one from BC.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit Application
Clear Fields
Should be Empty: