Vaccine Pre-Registration for Educators working out of Santa Cruz County (2.10.2021)

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We continue to work with our partners to offer all education staff with COVID-19 vaccination. If you work in Education outside of Santa Cruz County, yet live in Santa Cruz County and have not been vaccinated, please complete this pre-registration form to opt-in to COVID-19 vaccines. We have prioritized those who work in Santa Cruz COunty Schools. Once completed we will work to find appointments for vaccination. If you work in a Santa Cruz County school district, charter school, or private school please complete this other survey: http://sccoe.link/vacreg

First Name *

Last Name *

Work Email Address *

Confirm Email Address *

I have already received the COVID-19 vaccine *

Yes

What County do you live in? *

What County do you work in? *

I consent to be vaccinated for COVID-19 *

Yes

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