Exit LA SURF - Player Vaccination Status Per LA County Public Health Order 08/30/2021 Question Title * 1. Player Name Question Title * 2. Player Date of Birth Question Title * 3. Coach Name of Team Question Title * 4. Parent Name Question Title * 5. Parent Email Question Title * 6. What is your PLAYERS current COVID-19 Vaccination Status? Unvaccinated My child is below 12 Years of Age Received First Dose Fully Vaccinated I am uncomfortable answering this question Next