Pershing County COVID-19 Vaccine Parental Survey
The Pfizer COVID-19 vaccine has been approved by the FDA for youth 12 to 17 year-old. Pershing County Health Officials are seeking the number of youth interested in being vaccinated to order the correct number of vaccines and possibly organize a drive-through event(s) to help facilitate protection in our community. Please fill out the survey below. Thank you for your time.

For more information on the vaccine for youth, click on the link below:
https://www.cdc.gov/coronavirus/2019-ncov/downloads/vaccines/toolkits/COVID-19-Vaccine-for-Preteens_Teens-508.pdf

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Are you interested in having your 12 to 17 year-old child(ren) receive the COVID-19 two shot vaccine? *
If yes, please select the number of your children ages 12-17 you are interested in receiving the COVID-19 two shot vaccine: *
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