Bawat Rotarian Protektado Bawat Bata Bakunado: Vaccination Registration Form

Registration to 18 years old and above

VIEW SCHEDULE AND REGISTER

Registration ONLY to 12 – 17 years old with comorbidities

VIEW SCHEDULE AND REGISTER
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Bawat Rotarian Bakunado: The Rotary Vaccination Project

CHILDREN AGED 12 – 17 WITH CO-MORBIDITIES VACCINATION  REGISTRATION FORM


     REGISTRATION ONLY     

COMORBIDITIES LIST OF MINORS AGED 12-17 PRIORITIZED FOR COVID-19 JABS

    • Medical complexity
    • Genetic conditions
    • Neurologic conditions
    • Metabolic/ endocrine
    • Cardiovascular disease
    • Obesity
    • HIV infection
    • Tuberculosis
    • Chronic respiratory disease
    • Renal disorders
    • Hepatobiliary

GENERAL REQUIREMENTS AND PROCESSES THAT ARE EXPECTED YOU NEED TO BRING.
(We shall inform you through email and mobile the requirements once finalized by DOH).

    • Informed consent of parents, as well as assent from children who will receive vaccines themselves
    • Medical certificate from doctors indicating comorbidities of minor
    • Identification Card
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Bawat Rotarian Bakunado: The Rotary Vaccination Project

ADULTS 18 AND ABOVE – VACCINE CATEGORY A1 – A3


     VIEW SCHEDULE AND REGISTER     

Vaccination Details

What: COVID-19 Vaccination (Moderna) First and Second Dose
When: November 6, Saturday
Time: 9:00A-12:00P then 1:00P-3:00P
WHO: RI District 3810 Rotarians plus household members except less than 18 years old
Where: Lung Center Main T-block 2nd Floor
What to wear: Tops that easily exposes arm
What to bring: ID
Who cannot come: Those with respiratory symptoms or those under quarantine or those who already had second dose or those who have not pre-registered (no walk ins)
Deadline for registration: November 4, 5:00PM

 

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REMINDERS:

Thank you for your response.Please expect to receive an email from us this Friday (November 5. 2021) informing you the date and time of your vaccination  Saturday (November 6).

On vaccination day, please do not forget to bring the following:

  • 1. Documents or Valid ID that can provide proof of residence.
  • 2. Medical clearance or record showing your household member has the ailments of the following diseases: autoimmune disease, HIV/AIDS, cancer and currently undergoing treatment, transplant patients, currently taking steroids, bedridden patients.
  • 3. Senior Citizen ID or any ID that shows your birthday.