BACK TO SCHOOL VACCINES

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On July 20th from 9-2pm, the Department of State Health Services will be coming to the GW Junior High Library to offer Back to School Shots for our students. They serve students with Medicaid, no Insurance coverage, & with Insurance that doesn't cover vaccines. Cost is $5 per student (can be waived if needed). Parent/guardian must be present. Please bring your student's current shot record.

Parent Name *

Parent Cell Phone Number *

Student Name *

Student Grade *

Back to school shots needed *

Yes

Second meningitis shot needed (ages 16 -18) *

Yes

Covid Vaccine for ages 12 & up *

Yes

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