Vaccine Consent Forms

The Adult Consent Form is available to download as a PDF by clicking the button below.

Download Adult Form

Adult Moderna Vaccination Clinic: Thursday Sept. 23, 2021

Antler River Seniors Complex: 4-8PM

By Appointment ONLY – No Walk-ins

Consent forms due: Monday Sept. 20, 2021

Questions? Call Heather 519-289-5641 ext: 226

The Youth Consent Form is available to download as a PDF by clicking the button below.

Download Youth Form
Youth Born in 2009 to 17 Moderna Vaccination Clinic:
Thursday Sept. 9, 2021

Antler River Seniors Complex: 5-7PM

By Appointment ONLY – No Walk-ins. Gift Cards will be handed out!

Consent forms due ASAP

Questions? Call Heather 519-289-5641 ext: 226