Back-to-School No Cost Vaccines
Please fill out this form if you plan to utilize this Back-to-School Vaccine Clinic. The clinics will be held at Dorman High School and Fairforest Middle School.  There is no need to make an appointment. Just bring your child any time between 9am and 3pm on August 10 to either location. This form gives us an idea of how many students we need to be prepared to serve.
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Parent First and Last Name *
Parent's Best Contact Number *
Child's First and Last Name (Please add names of all children if more than one.) *
What School(s) Does Your Child Attend? *
Which location do you plan to use/
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