NOC COVID-19 Vaccination Incentive Contest Form

NOC COVID-19 Vaccination Incentive Contest Entry Form

Thank you for your interest in participating in the NOC COVID-19 Vaccination Incentive Contest. If you are a fully vaccinated student or employee, please fill out the form below and upload a copy of your vaccination card to be entered into the contest for prize drawings. If you are not vaccinated due to a medical or religious exemption, but wish to have your name entered into the drawing, you may submit documentation verifying the exemption. The NOC COVID-19 Exemption/Declination Form can also be found on this page.

I am a(Required)

Student

Employee

Name(Required)

First Last

College Email(Required)

Phone(Required)

If you're a college student, which location do you consider your primary campus?

Enid

Stillwater

Tonkawa

Upload copy of vaccination card or exemption/declination form*(Required)

Max. file size: 250 MB.

The NOC COVID-19 Exemption/Declination Form can be found on the Vaccination Incentive Contest page.

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