2019-2020 MERS FLU SHOT REGISTRATION
Walgreens once again will be providing flu shots for your convenience at our Wellness Fair on September 3, 2019 at MEMS.  If interested please complete this form and submit by August 23, 2019.

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Email *
First Name *
Last Name *
School/Location *
Do you wish to receive a flu shot during the Wellness Fair? *
Walgreen's is offering this free service without a co-pay if you participate in the School Employee Health Benefits Program (SEHBP) or the State Health Benefits Program (SHBP) through a spouse or partner.                                                                                                                                                                                                                                                                             Please note: If you are unsure of your eligibility, please contact your insurance carrier if you don’t participate in the School Employee Health Benefits Program (SEHBP) or the State Health Benefits Program (SHBP). The Manalapan-Englishtown Regional School District will not be responsible for any acquired bills and or fees associated with this service.
A copy of your responses will be emailed to the address you provided.
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