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Vaccine

Vaccine Registration

COVID-19

hosted by WALGREENS

*APRIL 26, 2021

9:00 AM-3:00PM

-No Insurance Needed

-Any form of Identification Accepted

Welcome,

We are happy that you decided to take part in receiving the COVID Vaccination please follow the instructions below: 

Online Registration: 

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1

Step 1: Fill Out Initial Sign Up form  

COVID-19 SIGN UP

Please fill out the information acturately below to be signed up for the Vaccine

Thanks for submitting! Please follow remaining instructions below 

2

Step 2: Download and print out registration form. 

 *Please fill out registration form prior to       appointment

3

Step 3: Please come between the vaccination time frame  

*APRIL 26, 2021

9:00 AM-3:00PM

4

Step 4: Please bring your identification, insurance card and registration form 

Click to Download

*If you can't print out the document we will have forms on site. 

  • Identification (Drivers License or State ID or any other form)

  • Insurance 

  • Registration form 

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If you have any questions or concerns please contact us @248-338-1928

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