Wait list for Pediatric COVID-19 Vaccination Clinic

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The Bedford Health Department is hosting a FREE COVID-19 Vaccination Clinic for Bedford residents and BPS Students ages 5-11 on Sat. 11/20, 9 am -12 pm at the John Glenn Middle School, 99 McMahon Road. The 11/20 clinic is FULL at this time. We are accepting names for placement on a wait list. If you are interested in entering your child's name on the wait list, please complete the form below and you will be contacted in advance of the 11/20 clinic should appointments open due to cancellations.

Child's Last Name *

Child's First Name *

Child's Age on 11/20 *

Parent/Guardian Name *

Street Address (include City/Town) *

Parent/Guardian Email *

Phone number

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