Covid-19 Vaccination Verification Form
AVA Gallery and Art Center requires all staff, instructors, volunteers, and participants (ages 5 and up) in our programs to either show proof of vaccination against Covid-19, or provide a negative PCR Covid-19 test (taken within 72 hours of a scheduled class session or event).
- To upload proof of vaccination, please do so below.
If you would prefer to provide proof of vaccination in person or via email, please stop by our office during normal business hours (T-F, 11 am-5 pm), or email email@example.com.
AVA takes the privacy of our participants, employees, and teachers extremely seriously. This is a HIPAA compliant form, and we will not share information provided here with any third parties.
For further info about AVA's Covid-19 policies, please click here, or email AVA's Executive Director Shari Boraz (firstname.lastname@example.org) or Education Manager Nick Gaffney (email@example.com).