Community Flu Shot Event

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Community Flu Shot Event - RSVP

Sunday, November 8th from 11:00am - 2:00pm
Notebaert Nature Museum Parking Lot - 2430 N. Cannon Drive

First Name *

Last Name *

Home Address *

Phone Number *

I agree to wear a mask, maintain social distance, and follow all other COVID-19 safety protocols. I will not attend the event if I am feeling sick, displaying symptoms, or if I have been near someone diagnosed with COVID in the last fourteen days. *

Yes

Other:

I certify that I have an insurance card or a Medicare Part B card, and will present said card at the event prior to receiving a flu shot. *

Yes

Other:

Use the space below for any additional comments or questions for event organizers:

Submit

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