OLM Flu Shot Registration Form
Our Lady of Mercy Parish Wellness Ministry is hosting a Flu Shot Clinic on October 23, 2022 from 9am to 1pm presented by Walgreens.

While walk-ins are welcomed, please sign up below if you would like to receive a flu shot to help provide an estimate of vaccines needed. These are on first come, first serve basis. Encourage your friends and family to get their flu shot to protect them during the cooler months!

Please note we will also have a limited number of vouchers for a free flu vaccine for those who do not have health insurance.

Those 65+ are recommended for the high-dose flu vaccine so listing your age will help Walgreens prepare the type of vaccines accordingly.

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Name *
Email Address
*
Do you have health insurance
*
What is your age. Please select one option. This is used for the purposes of Walgreens to know how many dosages per age group that they need to bring.
*
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