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Racing Canoe Center
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COVID-19 Vaccine Verification
COVID-19 Vaccine Verification
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2021-09-10T20:56:41-07:00
Contact COVID Coordinator
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Contact our COVID Coordinator
Contact COVID Coordinator
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Submit
COVID Vaccine Verification
COVID-19 Vaccine Verification for BRCC
Following recommendations from the City of Berkeley and other local institutions, BRCC has decided that we will collect verification of COVID-19 vaccines. Please answer the following questions and upload evidence of your vaccination.
First Name
*
Last Name
*
Email
*
BRCC Affiliation
*
Dragon Max
Cal
Rough Rider
No Team Affiliation - small vessel user
Guest
Other
Other
Date of last vaccination
*
Was the last vaccination a Booster?
*
Yes
No
Please upload your proof of vaccination (vaccine card or QR code provided by the state of CA)
*
Drop your image or pdf of your vaccination card here or click to upload
Choose File
Maximum upload size: 67.11MB
If you are human, leave this field blank.
Submit Vaccine Verification
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