2021 COVID-19 Vaccine/Flu Shot at CISD Home Football Games
CISD is partnering with Tom Thumb to offer a COVID and flu vaccination clinic at each Varsity home football game this season. The vaccine clinics will be held at Buddy Echols Field on the home side of the stadium from 6 -7:30 p.m.


Friday, Sept. 10

Friday, Sept. 24

Friday, Oct. 15

Friday, Oct. 29

In order to receive a vaccine, fill out the form below, and then fill out the consent form at go.coppellisd.com/VaccineConsentForm and bring it to the clinic along with your insurance cards. The COVID vaccine can be provided to those 12 years old and older, while the flu vaccine can be provided to anyone ages 7 and older. Please fill out a form for each person getting a vaccine.
Sign in to Google to save your progress. Learn more
Email *
First Name of individual to receive vaccine *
Last Name of individual to receive vaccine *
Type of vaccine you will receive *
Date you will receive the vaccine at the home football game *
First and Last Name of Parent/Guardian if the person receiving the vaccine is under the age of 12.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Coppell ISD. Report Abuse