JCSD Vaccination Clinic
JCSD School and Community Vaccination Clinic
August 11from 9:00 a.m. to 2:00 p.m. Special Programs Building
Those who received their first shot in July will need to sign up for their second shot.  Those who have not been vaccinated are encouraged to sign up for your first shot!
Fill out the attached form to get your time slot.  Multiple family members will not need to sign up individually, just indicate the number in your party.

Sign in to Google to save your progress. Learn more
Your name *
Phone number where you can be reached if time slot is not available *
Which vaccine dose are you getting? *
Indicate the number in your party.  Multiple family members will not need to sign up individually. PLEASE NOTE: AGES 12 AND OVER ONLY MAY BE VACCINATED. *
What time slot do you wish to have? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Junction City School District. Report Abuse
Google Forms