Polk Schools Student COVID 19 Vaccine Survey
Please complete this survey ONLY if you are interested in your child receiving a Pfizer COVID 19 vaccine at one of our schools. This survey is anonymous and will be used for planning purposes only. Parent permission is required for any child to receive a vaccine.
How many children (12 years of age or older) would you like to receive the COVID 19 vaccine? *
Where would you like for your child to receive the vaccine? *
Please submit any questions you have about the vaccine or the school vaccine events we are planning.
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