COVID-19 Vaccine Card - Form - New City Jewish Center

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COVID-19 Vaccine Card

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* First Name

* Last Name

My Email - For Confirmation

* PLEASE UPLOAD VACCINATION CARD BELOW

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Wed, May 8 2024 30 Nisan 5784

New City Jewish Center • 47 Old Schoolhouse Road • New City, NY 10956 • 845.638.9600

affiliated with United Synagogue of Conservative Judaism

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