All Saints Catholic School

New Bedford, MA

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Walgreens Flu Clinic

- Parents

Walgreens will be conducting a Flu Clinic at ASCS
Thursday, November 19, 1:30 - 5: 30 pm

Parents, staff and students are welcome to participate in this program. A parent must be present in order for a student to receive the flu shot.
Please complete the form below if you would like to participate.
Additional information and forms will be emailed to you before the date of the clinic (and also available onsite).
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Names & grades of students/staff receiving flu shot REQUIRED Please fill out this field. Please enter valid data.
- Names of parents/adults receiving flu shot Please enter valid data.
- Questions? Concerns?
- Information and forms will be sent to the email you have listed.
  If you would like the school nurse to contact you,
  please note in the comment box above.
Submit

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