COVID-19 Vaccination Disclosure Form

Thank you for keeping us safe by completing this form before your first visit to Eastman Community Music School. Students who should fill this form: All students ages 5+ participating in in-person ECMS activtiies.
(8 digits, found on your bill)
Student's Current Vaccination Status against the virus that causes COVID-19:(Required)
If the student is fully vaccinated or vaccination is in progress, please upload photos of the front and back of the student's CDC vaccination card or a screen shot of NY Excelsior Pass.
Drop files here or
Max. file size: 128 MB.