Community Vaccination Clinic at Claremont High School - September 9, 2021

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Community Vaccination Clinic at Claremont High School - September 9, 2021

CUSD is hosting a vaccination clinic at Claremont High School on September 9, 2021 from 2:00 to 6:00 PM. Anyone with a birthday on or before September 9, 2009, is eligible for this no-cost Pfizer COVID-19 vaccine. One form must be completed for each person getting a vaccine.

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* Indicates required question

Email *

Your email

First and last name of person receiving vaccine *

Your answer

Date of Birth *

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/

DD

/

YYYY

Select One *

CUSD Student

CUSD Staff

Community Member

Name of parent/guardian or answer 'self' (required for minors) *

Your answer

Phone Number *

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