Request for Exception from COVID-19 Vaccination Requirement

As of June 13, 2022, the Kimmel Cultural Campus no longer requires proof of COVID-19 vaccination to attend performances occurring in its venues.  The Kimmel Cultural Campus will continue to review its Health and Safety policy and public health conditions evolve. Please visit https://www.kimmelculturalcampus.org/plan-your-visit/safe-clean-commitment/ for the most up-to-date information.

The following is a detailed description of the basis for my exception request. If I have declined other vaccinations or medications on the same basis, I have detailed them below. Documentation from a healthcare provider or religious leader may also be provided with this form to support the request.

To submit an attestation from a medical provider or religious leader, please download and complete the Certification from Healthcare Provider or Religious Leader Form. Please be sure to have your medical provider or religious leader sign the form. Please scan the completed form and submit by email to Exceptions@TicketPhiladelphia.org.

By typing your name in the box provided, you agree to signing this document, indicating all information provided is accurate.

I verify that the information I am submitting to substantiate my request is true and complete. I understand that additional information or documentation may be required.

The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits entities covered by GINA Title II from requesting or requiring genetic information of an individual or family member of the individual, except as specifically allowed by this law. To comply with this law, do not provide any genetic information when responding to this request for medical information. "Genetic information," as defined by GINA, includes an individual's family medical history, the results of an individual's or family member's genetic tests, the fact that an individual or an individual's family member sought or received genetic services, or genetic information of a fetus carried by an individual or an individual's family member or an embryo lawfully held by an individual or family member receiving assistive reproductive services.