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Registration Link - June 12 Student Vaccine Clinic

June 7, 2021

Dear Parents/Guardians,

Our June 12th Pfizer COVID-19 student vaccine clinic is fast approaching.  You will need to register your child for an appointment to receive their second shot, and YOU WILL NEED TO COMPLETE A NEW CONSENT FORM AND BRING IT WITH YOU.  Please use the link below to register:

Link:  https://hipaa.jotform.com/211534649084155

Here are the details for the Student Vaccine Clinic:

WHEN:          June 12, 2021  (second shot clinic)               
WHERE:       Wallingford-Swarthmore School District
                        Strath Haven MIDDLE School
                        200 South Providence Road
                        Wallingford, PA 19086
                        [Gymnasium]
TIME:            9:00 am to 1:00 pm

WHAT TO BRING WITH YOU?

  • Proof of Student’s Identification (driver’s license or picture school identification and proof of age (e.g., birth certificate).  If you do not have documentation, the school will need to verify you are a student attending the district.
  • Insurance Card (if available).
  • Consent Form (that will have been completed when you register for the clinic)
  • If under 18 years of age, MUST BE ACCOMPANIED by a parent/guardian.

A few reminders:

  • Clothing should be loose around the arm where the individual will get the shot. There will not be private rooms available for vaccinations. 
  • When you register, you will be asked to complete a consent form for the Springfield Pharmacy. Please bring this with you.

Thank you for your cooperation as we continue to support the students’ vaccination efforts across the county.

Sincerely,
Lisa Palmer, Superintendent of Schools