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Los Nietos School District COVID19 Vaccine Clinic @ LNMS STEAM Academy
Vaccine Clinics: Friday, March 18 & Friday, April 8
Event Address: LNMS STEAM Academy 11425 Rivera Rd. Whittier, CA 90606
Contact us at: (562) 695-0637
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Email
*
Your email
Name of person being vaccinated/Nombre de la persona que recibira la vacuna
*
Your answer
Birth Date/Fecha de nacimiento
*
MM
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DD
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YYYY
Age of person being vaccinated
Your answer
Which vaccination would you like?
*
1st dose
2nd dose
Booster - Pfizer
Booster - Moderna
Booster - Johnson & Johnson
Home Address/Direccion
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Your answer
Phone Number/Numero de telefono
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Your answer
Parent's Name/Nombre del padre
*
Your answer
When will you arrive/A que hora vendra?
1:00 pm - 2:00 pm
2:00 pm - 3:00 pm
3:00 pm - 4:00 pm
4:00 pm - 5:00 pm
5:00 pm - 6:00 pm
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