$15 Sports Physicals, Exámenes físicos deportivos por $15
Date: Saturday, July 31, 2021
Location: Please pick a location below
If you have questions, please email nurse@uplifteducation.org

Fecha: sábado 31 de julio de 2021
Ubicación: elija una ubicación a continuación
Si tiene preguntas, envíe un correo electrónico a nurse@uplifteducation.org
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Scholar's First and Last Name / Nombre y apellido del estudiante *
What school do you attend? / ¿A qué escuela asistes? *
Email Address / Correo Electrónico *
Telephone Number / Número de teléfono
Which clinic will you attend? / ¿A qué clínica asistirás? *
Required
Have you ever had a sports physical? / ¿Alguna vez has recibido un examen físico deportivo? *
Sports Physicals are voluntary and will be provided by Collins Medical and Wellness Group, LLC. at a cost of $15. By checking the box below, I acknowledge that I will need to pay $15 upon arrival in order for my scholar to complete a Sports Physical. / Los exámenes físicos para deportes son voluntarios y serán proporcionados por Collins Medical and Wellness Group, LLC. a un costo de $ 15. Al marcar la casilla a continuación, reconozco que tendré que pagar $ 15 al llegar para que mi estudiante complete un examen físico deportivo. *
Required
I would like the FREE (Pfizer) COVID-19 Vaccine / Me gustaría la vacuna COVID-19 GRATIS (Pfizer) *
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