Vaccine Town Hall Registration
The COVID-19 numbers continue to grow and negatively affect our communities. How can we help change the outcome? Join us for a Vaccine Town Hall as Public Health, Medical, and Legislative Experts explain the current state of the COVID-19 Pandemic, the COVID-19 Variants, third shots and booster vaccines.
Join us for a Town Hall Live or via YouTube Livestream.
Refreshments will be served.
Sign in to Google
to save your progress.
Full name (first name, last name)
Will you be attending IN-PERSON?
Yes, but virtually!
What is your email?
What is your best contact phone number?
Question(s) for panelist
If you have don't have any questions, feel free to put N/A.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service