ACA (Pfizer) Vaccine Clinic #5 Registration 新冠辉瑞疫苗接种注册表
Email *
I understand that this is ONLY TO REGISTER and will be emailed an appointment confirmation. 我了解这仅仅是报名,最终预约成功与否以确认邮件为准。 *
I understand that it will be the Pfizer (2-dose) vaccine given on Fridays, June 4th and June 25th at the CCC between 10AM-1PM. 我知道本次只接受两剂均在美华中心接种的报名者,第一剂于6月4日,第二剂于6月25日, 上午10点至下午1点。 *
I understand that I can't reserve or forward my spot to anyone else. 我知道我无法把我的疫苗接种机会保留或转让给其他人。 *
I understand that by having the following items: the filled-out Consent form, copies of ID, and insurance card, will reduce my waiting time for my vaccine. The consent form will be attached to the confirmation email. 我知道填写好知情同意书,准备好身份证和保险卡的复印件,将大大减少我现场等待的时间。 知情同意书将附在确认邮件中。 *
I confirm that I have read, understood and agreed to the above information. 本人确认已阅读、理解及同意以上信息。 *
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