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12+ Vaccine Clinic Schedule and Consent Form
12+ Vaccine Clinic Schedule and Consent Form
Seth Perry
Tuesday, May 04, 2021

Hurricane High School is hosting a vaccine clinic for individuals who recently filled out a vaccine interest survey. The clinic will run from from 3:00 - 8:00. 
This clinic is for first shots of the Pfizer vaccine, and individuals ages 12 and older are permitted to receive the vaccine. 
Anyone receiving the vaccine must complete the consent form. The consent form is on Schoology, the school website, and in hard copy in the front office. 
Children between 12 and 15 years of age must have a parent/legal guardian accompany them to receive the vaccine. Please bring your insurance card and photo ID. 

COVID Vaccine Consent Form