COVID Vaccine scheduling below. "*" indicates required fields First Name* Last Name Email* Birth Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Best Phone*Please select the best phone number to contact you. Cell Phone Home Phone Cell Phone*Home Phone*Reminder Call Preference*What time of day do you prefer our system to call you as a reminder of your appointment?Select Reminder TimeMorningAfternoonEveningAppointment Selection*Select your Vaccine Appointment date to begin scheduling a time. Pfizer Vaccine - Every Tuesday (JOHNSTOWN, PA - 315 Locust St ) June 12 Pfizer Vaccine - (JOHNSTOWN, PA - PNG Park - 90 Johns Street) June 15 Pfizer Vaccine - (JOHNSTOWN, PA - Central Park - Main Street) June 18 Pfizer Vaccine - (JOHNSTOWN, PA - Central Park - Main Street) Appointment Schedule*Appointment Schedule*Appointment Schedule*Appointment Schedule*
