Clergy Declaration of COVID-19 Vaccination

Bishop Deon Johnson issued a pastoral directive on October 11, 2021, requiring all clergy serving in a pastoral or sacramental role, along with lay and ordained staff members in all worshiping communities in the diocese to be vaccinated by Monday, Nov. 1, 2021.
Clergy members were required to submit the form below by Monday, Nov. 1, 2021. You can also use this form to update your status (if/when you get your booster shot).
Lay staff members must attest to their vaccination status to the clergy-in-charge or Senior Warden by the same date.
If you have trouble with this form or prefer an alternate way to submit your response, please contact Jillian Smith at [email protected] or mail to The Episcopal Diocese of Missouri, ATTN: Jillian Smith, 1210 Locust Street, St. Louis, MO, 63103.
This form is required for CLERGY ONLY.
Declaration of COVID-19 Vaccination
Thank you for submitting your vaccine declaration.
