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Flu Shot Registration Form

Register for a flu shot

Please enter your information then select a time and location from the options below to create an appointment for a flu shot.

Personal Information

Full Name: Last name, First name
Phone:
E-mail:
Department:

Day 1: Tuesday December 3, 2013

Bruneau Centre, 2nd floor, 2002

    Available Times: No slots available

Earth Sciences, Dining Room

    Available Times: No slots available

Faculty of Medicine, Room 2J618

    Available Times: No slots available

Day 2: Wednesday December 4, 2013

Bruneau Centre, 2nd floor, 2002

    Available Times: No slots available

Earth Sciences, Dining Room

    Available Times: No slots available

Faculty of Medicine, Room 2J618

    Available Times: No slots available

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