COVID-19 Vaccine Appointment Form

Notice: The COVID-19 Vaccine doses for 04/21/21 and 04/23/21 are manufactured by Pfizer.

Please only register for the Pfizer vaccine if you are over 16 years old. Parents/Guardians must accompany minors to sign their consent form.

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Vaccine Info

Prior to completing your appointment registration, please download and read the following EUA Fact Sheets for the Pfizer and Moderna COVID-19 vaccines.

If you have questions regarding COVID-19 vaccination, please refer to Frequently Asked Questions about COVID-19 Vaccination as outlined by the Centers for Disease Control and Prevention (CDC). For more information on what to expect after getting a vaccine, please refer to the CDC’s guide.