CAMP Rehoboth June 27 mpox Vaccine Registration
Free mpox vaccines from 12-4 PM.  Please note that if you are vaccinated previously, it is not recommended by the CDC to get vaccinated again. 

Register in advance by filling out the fields below. Please note these fields are confidential and are used only for the Delaware Department of Health and Social Services' records. 

For National HIV Testing Day, there will also be an opportunity to get a rapid HIV test (for less than 15 minutes). To honor the day, all who get tested / vaccinated will get the choice between a CAMP Rehoboth hat or a Lori's Oy Vey Cafe gift card; if you get both tested and vaccinated, you will receive both!
 
Email tara@camprehoboth.com with any questions. 
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Name *
Date of Birth *
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Age *
Primary Residence *
Email *
Cell Phone *
To sign-up, please choose an available appointment slot from the link.

We're using SignUp (the leading online SignUp and reminder tool).

Here's how it works in 3 easy steps:

1) Click this link to see our SignUp HERE. 
2) Review the options listed and choose the appointment you like.
3) Sign up! It's Easy - you will NOT need to register an account or keep a password on SignUp.

Note: SignUp does not share your email address with anyone. If you prefer not to use your email address, please contact me and I can sign you up manually.

To agree to this, select "Yes" below.
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To honor National HIV Testing Day, there will also be an opportunity to get rapid tested. If you would like to be tested, please mark "Yes" below, or if you would prefer not to, please mark "No."  *
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