COVID-19 Vaccination Opportunity
Dear Parents and Guardians,  

McLeod Heath will be at Marlboro County High School on Friday, April 16th, 2021 administering the Pfizer vaccine to students ages 16 and older.  McLeod does not require a consent for students ages 16 and older; however, we would like for you to provide us with the below details to assist with an accurate count.  This is for information only.
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Name of the Student *
Date of Birth *
MM
/
DD
/
YYYY
Age ( in years) *
I would ( for students) / My son or daughter would like to take the vaccine at Marlboro County High School on Friday, April 16, 2021 *
Required
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