Flu Shot Pre-Registration
Thank you for registering for this Fall's Flu Shot Clinics! Please answer all of the following questions. Our medical staff looks forward to seeing you at the event! Be sure to wear a face covering and have your S# handy. ***Full-time employees will need to have a printed copy of their insurance cards at the time of event.***
Please feel free to email chc@slcc.edu if you have any questions.
What is your name? *
What is your email? *
Are you a student or employee? *
What is your S Number? *
Which event do you plan on attending? *
How did you hear about these events?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy