Shaler Area HS Student COVID Vaccine Clinic
Shaler Area School District, in partnership with Giant Eagle Pharmacy, will be hosting a COVID-19 vaccination clinic for students attending Shaler Area High School.
The Pfizer COVID-19 Vaccine will be offered on Thursday, May 6, 2021 during the school day. Our Cohort C students are invited to participate from 2:45 p.m. - 3:45 p.m. This is a 2-dose series and the second dose is given 21-42 days after the first dose.
The second dose will be offered at school on June 3, 2021 during the school day. Our Cohort C students are invited to participate from 2:45 p.m. - 3:45 p.m.
Parents/guardians of current Shaler Area High School students who wish to have their child vaccinated, must:
1. Complete the registration form below by Noon on Tuesday, May 4, 2021 AND
2. Complete and bring to the clinic the immunization administration record form in its entirety, checking the
consent box, and initialing. The form can be found at:
This immunization administration form, student's insurance card and a photo ID (driver's license or school issued ID) must be brought to the clinic on May 6, 2021.
Parent/Guardian Email Address
Student First Name
Student Last Name
Student Date of Birth
Current Instructional Model
Are you currently enrolled in an AW Beattie Career Center program?
Yes - AM
Yes - PM
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Cell Phone Number
Please list a phone number that we may contact during the clinic if questions arise.
I request that the student listed above receive the Pfizer COVID-19 vaccine as part of the Shaler Area School District vaccination clinic.
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