COVID-19 Vaccine Clinic Interest  ages 5 and up
Wayne County and the District are working together to offer a VOLUNTARY COVID-19 vaccine clinic for anyone 5 years old and up.  To help us understand the level of interest in the vaccine and booster shots we ask that you complete this brief form.
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How many children in your family aged 5-11 would you want to participate in a vaccine clinic?
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How many children in your family aged 12-18 would you want to participate in a vaccine clinic?
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How many adults in your family over 18 would you want to participate in a vaccine clinic?
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How many adults in your family over 18 would you want to participate in a booster clinic?
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