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Family Vaccine Interest Form
Family Vaccine Interest Form
Opal Anderson
Monday, May 10, 2021

Family Vaccine Interest Form

Dear CCSD 168 Parents and/or Guardians:

Cook County Health is gearing up for approval of the vaccine for children 12 years and older.  They are hoping the approval will come next week.  In an effort to be proactive, they have asked if we would reach out to you to send the survey to parents and guardians within our school district. 

The survey does not request any personal information.  It just asks if they have kids in certain age ranges, and if they would like to have their kids vaccinated.  We would greatly appreciate if you would complete the survey by clicking the link

https://forms.office.com/r/ZphEXbsAZV

Fill | Family Vaccine Interest Form

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forms.office.com

Thank you for your assistance.