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Senior Rides to Vaccines - Volunteer / Ofrézcase como voluntario para llevar a una persona mayor a su cita de vacunación
Are you able to drive 49th Ward seniors to their COVID-19 vaccination appointments? Thank you for volunteering!
¿Puede llevar a los adultos mayores del 49th Ward a sus citas de vacunación COVID-19? ¡Gracias por ser voluntario!
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First Name / Nombre de pila
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Your answer
Last Name / Apellido
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Your answer
Pronouns / Pronombres
she/her / ella
he/him / el
they/them / elle
Other:
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Address (so we can match you to neighbors close by if possible, we won't share your address with anyone) / Dirección (para que podamos relacionarlo con vecinos cercanos si es posible, no compartiremos su dirección con nadie)
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Phone / Teléfono
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Your answer
Can we text you at this number? / ¿Podemos enviarle un mensaje de texto a este número?
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Yes
No
Email / Correo electrónico
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