Removal From COVID-19 Vaccine Wait List
Thanks for letting us know that you no longer need us to reach out to you when a vaccine is available for you. This saves us precious time in our efforts. You're fantastic!
Would you like us to REMOVE you from the COVID vaccine wait list?
*
Remove me from your wait list
Name
*
First Name
Last Name
Your Date of Birth:
*
-
Month
-
Day
Year
Date
Email address used when signing up for wait list:
example@example.com
Submit
Should be Empty: