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Los Nietos School District COVID19 Vaccine Clinic @ LNMS STEAM Academy
Event Timing: Friday, November 19 (1st dose) & Friday December 10 (2nd dose)
Event Address: LNMS STEAM Academy 11425 Rivera Rd. Whittier, CA 90606
Contact us at: (562) 695-0637
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Email
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Name of person being vaccinated/Nombre de la persona que recibira la vacuna
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Birth Date/Fecha de nacimiento
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MM
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YYYY
Home Address/Direccion
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Phone Number/Numero de telefono
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Parent's Name/Nombre del padre
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When will you arrive/A que hora vendra?
1:00 pm - 2:00 pm
2:00 pm - 3:00 pm
3:00 pm - 4:00 pm
4:00 pm - 5:00 pm
5:00 pm - 6:00 pm
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