FOR EMERGENCIES, DIAL 911
*** NOT A VACCINE SIGN-UP ***
PHASE 1A - NON-ESSENTIAL
*** INFORMATION SIGN-UP ***
This form IS NOT a registration to receive a vaccine. This form is to sign-up to receive regular updates about the COVID-19 vaccine.
I have read and agreed with the above statement.
Lebanon County Department of Emergency Services.
© 2021 Lebanon County DES