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Which date(s) are you available to participate? Please arrive early. The clinic will last 11:00am-3:00pm.   *
For ALL volunteers please send an email with your name so we can communicate with you if there are any changes. If you will be an immunizer please attach your Immunization Certificate to the email and send to  Please be aware that if your certificate is not received before the clinic starts you will NOT be allowed to give any immunizations. *
First and Last Name (spell as seen registered with the state board)
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What school and organization are you from?
Select your shift(s) *
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