COVID-19 Vaccine Registration
FREE COVID-19 VACCINATIONS will be offered on Saturday, September 25, 2021, from 10:00 AM to 1:00 PM at the Scurry Church of Christ (7891 State Highway 34, Scurry, TX 75158).

The 1st dose Pfizer vaccine will be available for ages 12 years and older.  Children under the age of 18 must have a parent/guardian present. There is a 15 minute wait period for health observation immediately following the dose of the vaccine.

Please complete this form for an appointment time.  Carefully enter your email address.  You will receive a confirmation email with further detailed instructions. WALK INS ARE WELCOMED.

For more information on Pfizer vaccine, visit https://www.fda.gov/media/144414/download

This free COVID-19 Vaccination clinic is sponsored by Alpha Kappa Alpha Sorority, Incorporated® Alpha Alpha Omicron Omega Chapter in partnership with the Scurry Church of Christ.
Services provided by Texas Department of State Health Services.
登入 Google 即可儲存進度。瞭解詳情
First Name (Primer nombre): *
Last Name (Apellido): *
Date of Birth (Fecha de nacimiento): *
MM
/
DD
/
YYYY
Email Address (Dirección de correo electrónico): *
Cell Phone Number (Número Celular): *
Appointment Date and Time (Fecha y hora de la cita): *
提交
清除表單
請勿利用 Google 表單送出密碼。
Google 並未認可或建立這項內容。 檢舉濫用情形 - 服務條款 - 隱私權政策