Vaccination Status 2021
This fall, Circle Yoga is requiring all students taking in-person classes to be fully vaccinated for Covid-19. Before coming to class, please complete the fields below to certify your vaccination status and to ensure that the emergency contact information we have on file for you is current. Each student needs to submit this form only once.
Are you fully vaccinated against Covid-19? *
Student First Name *
Student Last Name *
Student Email Address *
Emergency Contact Name (first and last) *
Emergency Contact Phone Number *
Today's Date *
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