Family Information

Family Information

While we are weighing options to go back to the in-person classrooms experience for the Toastmasters program, we’d like to know the Covid-19 vaccination status for participating teenager(s) and parents/guardians who might drop off/pick up to/from the classes..

Health and safety always override everything else. We aren’t sure when we will have an option to return to the in-person classrooms: understanding vaccination status is a step towards understanding what we would need for the setup. Thank you for completing the form below.

Teenager(s):
Name
Name
First
Last
Is vaccinated?
Name
Name
First
Last
Is vaccinated?

Parents or Guardians:

Name
Name
First
Last
Is vaccinated?
Name
Name
First
Last
Is vaccinated?