Pfizer Vaccination Survey

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Pfizer Vaccination Survey

Penns Manor Area SD has the opportunity to host a COVID-19 Vaccination Clinic at the school. The Pfizer vaccination will be available to anyone who is 12 years of age and older at the clinic. This short survey is to identify whether there is enough interest or not to host a clinic at Penns Manor Area SD. Please respond to this survey if you are interested by Thursday, May 27th at 4 PM.

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Email *

Your email

Name *

Your answer

Email *

Your answer

Phone number to contact you. *

Your answer

Please list the names of individuals in your family who wish to be vaccinated. Please include their age. (Person's Name, Age) *

Your answer

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