littlefield logo in white 2021

WELCOME TO LITTLEFIELD

NYS is requiring everyone to provide proof of COVID-19 vaccination or sign a health declaration before entering the venue.

PRIVACY NOTICE:
Any identifying information submitted here will only be used for contact tracing of COVID-19.

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CERTIFICATION OF VACCINATION / HEALTH DECLARATION FORM

For vaccinated attendees:

I hereby certify that it has been at least 2 weeks since my 2nd Pfizer/ Moderna shot or sole Johnson & Johnson shot.

For unvaccinated attendees:

I hereby certify that as of today, I have not tested positive for COVID-19 within the past 14 days, been required to be in quarantine during the last 7 days, experienced COVID-19 symptoms, been in contact with someone who tested positive to COVID-19, or traveled from a state that is not contiguous to NY.

By certifying below, you are accepting the risks of being indoors during a pandemic and you will not hold littlefield liable for any damages related to, and/or arising from COVID-19.

YOU'RE ALMOST THERE!

COMPLETE THIS ACCURATELY FOR ENTRY

Photo ID is required for all attendees. Please have your proof of vaccination ready.

    **ALL FIELDS ARE REQUIRED** OR THIS FORM WILL NOT GIVE YOU THE REQUIRED SUCCESS MESSAGE FOR SECURITY AND CHECK IN.