To confirm your eligibility to attend Casino Night 2021, please enter your name, e-mail address, and upload an image of your completed “Certificate of Vaccination for COVID-19.” This is the same certificate that is presented when receiving the vaccinations. See a samples below.
*Please make sure your name is visible on the form. You may crop out any other personal information including address and date of birth.
*Handling of personal information:
All provided information will be used for the purpose of the Casino Night 2021 event only and will be kept strictly confidential.







