Vaccination Proof - Form - Young Israel of the West Side

Sign In Forgot Password

or Sign In With

Powered By ShulCloud

Login

Home
Donate
Our Shul
- Our Rabbi
- Officers
- YIWS History
- Photo Gallery
- Community
- Parsha
- Contact Us
Membership
Rentals
Calendar
Shiurim

Vaccination Proof

Please verify reCaptcha before submitting the form.

* First Name

* Last Name

* Email

* Cell

How many proofs of vaccination will you be uploading at this time?

Please enter the names of each person for whom you are submitting proof of vaccination.

* First Name of Guest

* Last Name of Guest

* Per NYC requirement, please upload proof of vaccination for everyone in your household who will attend YIWS in person, for any reason. You may submit proof for multiple people at one time by either clicking multiple files to upload, or clicking the box below additional times to add files one at a time.

Thu, May 19 2022 18 Iyyar 5782

210 West 91st Street - New York, NY 10024

Privacy Policy | Member Terms

©2022 All rights reserved. Find out more about ShulCloud