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APS Student COVID-19 Vaccine Interest
The vaccine administered will be Pfizer and has been approved for those 12 years of age and older
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* Indicates required question
I would like my student(s) to receive the Pfizer vaccination?
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Yes
No
I am interested in Alva Public Schools hosting a Vaccination POD on site this summer for my student(s).
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Yes
No
Please type in the number of children in your family that are interest in receiving the vaccination.
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Your answer
I understand that by typing my name in the box below, I authorize the district to share this information with public health and/or education officials for planning and vaccine distribution purposes.
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Your answer
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