AVA Covid-19 Negative Test Form

Covid-19 Negative Test 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).

If you are uploading a negative Covid-19 test, please do so below.

If you would prefer to provide a negative Covid-19 test in person or via email, please stop by our office during normal business hours (T-F, 11 am-5 pm), or email info@avagallery.org.

Click here to upload proof of Covid-19 vaccination.

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 (shari@avagallery.org) or Education Manager Nick Gaffney (nick@avagallery.org).

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Upload a Photo or Scan of your negative Covid-19 test. The test must have been administered within 72 hours prior to attending a class session or event at AVA.*

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Today's Date*

Date