New Student COVID Declaration Hiddensfid Name(Required) First Last Email(Required) I... Am fully vaccinated with two doses of the Moderna or Pfizer vaccine or one dose of the Johnson&Johnson vaccine, and boostered Am fully vaccinated and not yet eligible for the booster Am submitting a religious or medical accommodation from the vaccine or booster Vaccine Manufacturer(Required) Johnson & Johnson Pfizer Moderna Do you have a vaccination card or QR code?(Required) Vaccine Card QR Code Date of First Dose(Required) MM slash DD slash YYYY Date of Second Dose(Required) MM slash DD slash YYYY Date of Booster(Required) MM slash DD slash YYYY Front of CardMax. file size: 4 MB.Back of CardMax. file size: 4 MB.QR CodeMax. file size: 4 MB.Please submit your QR code with ALL the dates of your vaccinations listed under the code.Please download one of the following forms and fill it out completely with any supported documentation and submit it to COVID@lcad.edu. Medical: Please download the following form. Religious: Please download the following form.