Community Vaccination Clinic at Claremont High School - September 9, 2021
CUSD is hosting a vaccination clinic at Claremont High School on September 9, 2021 from 2:00 to 6:00 PM. Anyone with a birthday on or before September 9, 2009, is eligible for this no-cost Pfizer COVID-19 vaccine. One form must be completed for each person getting a vaccine.
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Email *
First and last name of person receiving vaccine *
Date of Birth *
Select One *
Name of parent/guardian or answer 'self' (required for minors) *
Phone Number *
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