Covid Vaccination Pop-Up
This is an informational survey only to help us try to plan for Wednesday's clinic (scheduled for 7 am -11 am at the ICT site at 512 Carroll Street.)

There will be no appointments and vaccines will be administered on a first-come, first-serve basis. However, it is likely we may not have enough doses for the entire student body to participate, but will try our best to be prepared.  Please note, this site is only for students enrolled at PS 372.

In order to plan, wed are hoping to have an idea of how many families would like to get vaccinated at our school site.  Please fill out the form below. Again, this does not guarantee a spot, it is for planning purposes. Your responses will be helpful for administration to know.
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Parent/Guardian Name *
Parent/Guardian Email *
Are you planning to come to the pop-up on Wednesday? *
If you feel comfortable sharing, why or why not?
Child 1 Name
Child 1 class
Child 2 name
Child 2 class
Child 3 name
Child 3 class
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