Vaccination Interest Survey 7/2021
Thank you for your interest in getting a vaccine shot with Woodlawn School District! This survey is to help gather interest and expected turnout so that we can better ensure a clean, smooth vaccination process for all. Please fill in the following fields and submit when you are finished.
Full Title (First and Last name, and any pre or affixes) *
How many children ages 12 or older would be getting the vaccination? *
E-Mail address (if you are interested in receiving an update in the future when more information becomes available. This section is completely optional, so if you don't want to be e-mailed later on just leave this blank.)
Submit
Never submit passwords through Google Forms.
This form was created inside of Woodlawn High School. Report Abuse