WCC Vaccination Clinic Registration Form
Wilson Value Drugstore will offer COVID-19 Moderna vaccines at no cost for students 18 and older, on Tuesday April 13, 2021, from 10:00 a.m. to 1:00 p.m. in the Eagles Center. The Moderna vaccine is a 2 shot series, and the second dose will be administered on campus, May 11, 2021. Participants will be provided a vaccination card with the date and time to return.

Please note that it could take up to an hour to get registered, receive your vaccine, and wait 15-30 minutes for observation, so plan accordingly. Those who have health insurance should present proof of insurance, and those without insurance should provide a driver’s license or other official ID. Please complete the form below if you would like to participate.

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Name (First and Last) *
Are you 18 years old or older?   *
Date of Birth *
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