Pre-Register for Pfizer COVID-19 Vaccine Clinic (Ages 5-11)

We will be offering the Pfizer COVID-19 vaccine on November 19th & 20th, ONLY for children ages 5-11. Details and pre-registration form are below.

Vaccine Clinic Details

Friday, November 19th – 3:30 pm to 7:00 pm
Saturday, November 20th – 10:00 am to 2:00 pm

  • Vaccine clinic only available to those ages 5-11.
  • Children need to be accompanied by a legal guardian to this appointment.
  • Once you submit the form below, we will contact you to schedule the appointment.

Why Should Children Get the COVID-19 Vaccine?

The CDC recommends that children and adolescents age 5 and older get a COVID-19 vaccine. The Pfizer COVID-19 vaccine is authorized for children and adolescents age 5 and up, as a 2-dose series taken 3 weeks apart. The dose for children age 5-11 is one-third of the dosage of the vaccine for older adolescents and adults.

Vaccination is the best way to protect children age 5 and older from COVID-19. COVID-19 has become one of the top 10 causes of pediatric death, and tens of thousands of children and teens have been hospitalized with COVID-19. While children and adolescents are typically at lower risk than adults of becoming severely ill or hospitalized from COVID-19, it is still possible.

The vaccine is safe and effective. Before being authorized for children, scientists and medical experts completed their review of safety and effectiveness data from clinical trials of thousands of children. The Pfizer COVID-19 vaccine was rigorously tested and reviewed, and more than 11 million adolescents ages 12-17 have already safely received the COVID-19 vaccine.

*Information sourced from Public Health Communications Collaborative,

Please complete and submit this form below in order for us to identify those who would like to receive the vaccine. Please take note, there is limited vaccine supply.  We will call you to schedule an appointment, so please be sure to answer this call.

Please Be Patient…

Limited Vaccine Supply

We currently have a limited supply of COVID-19 vaccines. Appointments will be made on a first come, first served basis. When registering online, you should expect a return call within one business day. Return calls may come from an unidentified, or “Unknown” caller, and will not be able to leave a message. If we are unable to reach you on the second call, we will proceed to the next submission.

COVID-19 Vaccine Administration Record Form

Please print, fill out and sign the administration record form below to bring to the appointment. One registration form per child needing a COVID-19 vaccine administered. 

COVID-19 Pfizer Vaccine - Admin Record Form