Multicultural Vaccination & Wellness Day

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Vaccine Registration Form - Vaccines are Free - No ID Required - Must be over 18 years old
May 1, 2021 10am-2pm -- Idlewild Park 115 Idlewild Ave Easton, MD

Hosted by the Avalon Foundation in partnership with Choptank Community Health.

Vaccinations will take place outdoors. The event will feature live music & entertainment and arts and crafts activities for kids! Masks will be required and social distancing protocols enforced. Everything is free and open to the public.

For complete information about the event visit avalonfoundation.org or contact Suzy Moore 410-200-8660 or suzy@avalonfoundation.org

First Name *

Last Name *

Date of Birth *

YYYY

Phone Number *

Address

City

Zip Code

Race *

Ethnicity *

Desired Vaccination Time *

10am-11am

11am-12pm

12pm-1pm

1pm-2pm

I am willing to be the last vaccine of the day

Submit

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