About this service

Public Health - Muskegon County is pleased to offer free-of-charge COVID-19 vaccination clinics for groups at events, businesses, organizations, schools, community centers, places of worship and more in Muskegon County. We provide the vaccine, supplies and staff. You provide the date, time and location. Complete this form to request this service.

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* 1. Contact Information

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* 2. When do you want to host this clinic?

Date

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* 3. What time frame do you propose for this clinic? 

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Time

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* 4. What location do you propose for this clinic?

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* 5. Will this be an indoor or outdoor clinic?

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* 6. Which COVID-19 vaccine are you interested in having at this clinic? (check all that apply)

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* 7. How many people do you think will participate (get vaccinated)?

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i We adjusted the number you entered based on the slider’s scale.

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* 8. Do you think you will have any children (ages 12 years and up) participate?

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* 9. Requests are filled based on schedule availability. This form is not an official commitment. We will contact you to discuss next steps. 

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