Black Hustlers Mutual Aid vaccine registration form
Black Hustlers Mutual Aid is organizing a community health cookout that aims to make sure our community has the COVID-19 vaccines. Callen- Lorde Community Health Center, a health facility, will be administering, providing and performing the vaccines. This form is just to schedule a spot during the Community Health Cook- Out Black Hustlers Mutual Aid and Freedom Boutique is organizing. For more information on the vaccine and Callen- Lorde please visit https://callen-lorde.org/vaccine/. amount distributed will depend on amount of people registered, please be mindful resources are limited.

Event Timing: May 1st 1pm-4pm
Event Address: 88 Williams Ave , NY 11207
Contact us at (717) 964- 8783 or email blackhustlersaid@gmail.com
Email *
Name *
Best email you to remind you of appointment
OTHER contact forms
please select a general time slot you would be able to arrive for your appointment, please be available for that full hour *
1 am 16 years old or older *
I understand that BHMA is just organizing a community event to get people the COVID-19 vaccine and have not made any unique shots *
Required
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