SAS Pfizer Vaccine Survey (Students aged 5-11)

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St Andrews Samakee has been in contact with MedPark and informed that our eligible students aged 5-11 years will have a vaccination opportunity as early as mid-March. These vaccinations will be distributed over two phases.

Please note that your child must be born on or before 1st March 2017 in order to be eligible for this vaccination. You will receive confirmation of your child's vaccination day as soon as possible.

Your name: *

Your Child's name *

Your Child's date of birth: *

YYYY

Age

Nationality

Parent Phone Number *

Parent Email Adress *

Would you like your child to get the Pfizer Vaccine with MedPark Hospital? *

Yes

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