This is the City of Seguin's 4th COVID Vaccine Waitlist. As vaccines become available, you will receive an invitation to schedule an appointment. You will be able to register up to two people once you receive your invitation to schedule your appointment. Please provide your information below and the two individuals who will be receiving the vaccine. 

YOU WILL NOT RECEIVE A CONFIRMATION EMAIL THAT YOU ARE ON THE WAITLIST. AFTER CLICKING THE DONE BUTTON, YOU WILL SEE A PAGE SAYING YOU HAVE SUCCESSFULLY COMPLETED THE WAIT LIST SIGN UP.

If you do not have internet access or an email, please call (830) 386-2219 to be placed on the waitlist.

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* 1. Please provide your contact information. The invitation to schedule appointments will be sent to the email address provided here. 

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* 2. When you receive an invitation to schedule a vaccine appointment, you will be able to register up to two people for a vaccine. How many individuals will you be registering for a vaccine?

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* 3. Vaccine Recipient #1's Information

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* 4. Vaccine Recipient #1 is eligible to receive the COVID vaccine as they meet the following conditions: (Mark all that apply)

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* 5. Vaccine Recipient #2's Information

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* 6. Vaccine Recipient #2 is eligible to receive the COVID vaccine as they meet the following conditions: (Mark all that apply)

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