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Certification

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Please note that eligible categories MUST be 16 years of age on date of 1st vaccine.
By signing below, I the owner certify that all of the information provided in this application is true and accurate.

Vaccine Clinic

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Jackson Township in partnership with CentraState Medical Center is pleased to announce a vaccine clinic.
Be advised that the available appointments are May 10th from 1 PM - 4 PM. Please complete the registration form below.
Please be noted that the vaccine administered is Johnson & Johnson.

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