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Vaccine Clinic

June 25 - COVID-19 Vaccine Clinic

Any person 12 years or older, may sign up for a time below to receive a PFIZER vaccine. PLEASE print and complete the consent form ( https://5il.co/sa57 ) and bring it with you to the clinic or email it to us in advance.  The consent must be signed by the parent if the person being vaccinated is under 18 years of age. Parents do not have to be present at the clinic if the student has a parent signed consent with them. 

Please enter only the name of the person who will be vaccinated in the sign up, with a quantity of 1.  For multiple people, sign each person up individually. Please contact District Nurse, Nita Bachman with any questions @ [email protected] or (217) 493-0699

Date: 06/25/2021 (Fri.)

Location: Middletown Prairie Gym

Created by:  Nita Bachman, RN
 
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Time (CDT) Available Slot
10:00am - 10:05am  

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