SISD COVID-19 Vaccine Clinic Parent Survey

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SISD COVID-19 Vaccine Clinic Parent Survey

The Hansford County Hospital District is interested in offering a COVID-19 vaccine clinic available to Spearman ISD students between the ages of 12 and 17 years old. HCHD would conduct the clinic for students at Spearman ISD facilities for students with written parental permission.

Please complete the survey below regarding a COVID-19 Vaccine Clinic for students at Spearman ISD.

* Indicates required question

I would like my child to receive the COVID-19 Pfizer vaccine. *

Yes

No

Required

If yes, please enter the number of children between the ages of 12 and 17 that you would like to receive the vaccine. *

Your answer

Submit

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