COVID-19 Vaccine Events

1500 Central Park Avenue
Yonkers, NY 10710

10AM – 4PM

10AM – 4PM

"*" indicates required fields

First Shot

Saturday, July 23, 2022 10AM-4PM

Second Shot

Saturday, August 20, 2022 10AM-4PM

Patient's Name/Nombre*

First Last

Address/Dirección

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number/Número de Teléfono

(may be necessary for delivering messages)

Service Needed/Servicio Necesario*

COVID-19 Testing

COVID-19 Vaccine or Booster

Other

Age of Patient/Edad del Paciente*

12 & up

5-11

4 or under

Other/Otro

Email Address*

(may be necessary for sending documents)

Enter Email Confirm Email

Comments

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