Sign Up for Appointment Availability for 5-11 Year Old COVID-19 Vaccine Clinic

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In conjunction with Washington State's Learn to Return program, Blaine School District is hosting a voluntary COVID-19 vaccination opportunity for our 5-11 year old students on Thursday, December 2nd from 4:00 P.M. to 7:00 P.M. at the Blaine Middle School Cafeteria. There will be approximately 75 appointment slots available. If you would like to receive the link to sign up for an appointment for your student, please complete this form. The link will be emailed directly to the email address provided here, on a first come first serve basis, until the appointments are filled. The link will be emailed out by Wednesday, November 24th.

Email *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Student First Name *

Student Last Name *

Student Grade *

Pre-K

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