Free COVID-19 Vaccine Clinic for ICN Noor Aca.

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Date: Thursday, December 2nd
Time: 2:00 to 4:00 pm

YOU MUST BE PRESENT WITH YOUR CHILD DURING VACCINATION.

This clinic is being conducted by the Illinois Department of Public Health.

Adults who are requesting a booster for themselves, please bring your VACCINATION CARDS.

Email *

Your First and Last Name (Parent)

Child's First and Last Name (leave blank if you are only requesting an adult vaccine)

Child's date of birth (leave blank if you are only requesting an adult vaccine)

YYYY

Classroom / Grade

Kindergarten (Ms. Juvaria's class)

1st (Ms. Naila's class)

2nd (Ms. Sakina's class)

3rd (Ms. Sakina's class)

Community (not student)

Clear selection

Would you also like an adult booster for yourself as parent or guardian?

yes

Clear selection

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