FreeCovidCare COVID-19 Vaccination Sign-Up Form

FreeCovidCare is partnering with community leaders and doctors to expand the reach of vaccines to all communities in an equitable way.

Sign up so that we could notify you of our next community vaccination event near you!

Which of the following best describes you?
Which category do you fall under? Included but not limited to:
Are you a healthcare worker that can assist in administrating the vaccines?
Are you a non-health care worker that can help with registration, crowd control, etc.?

Thanks for submitting!