Impact NW Teen Vaccination Clinic
Impact NW is excited to host a Teen Vaccination Clinic on:
First Dose: July 9th from 3:30-6:30
Second Dose: July 30th: 3:30-6:30

We will have free food, a dj , raffles, information and resources. Each person to sign up and get their first dose will receive a $100 Safeway gift card. Please answer the 3 questions below we look forward to seeing you there!
Email *
First and Last Name
Date of Birth *
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DD
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Phone Number *
Email
Consent Parent/Guardian consent is needed for ages 12-14. This can be done previously via the consent form. Written letter, or the day of the clinic.
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