DOWNLOAD FORM
May 6: Pfizer(16+) | May 8: Moderna(18+)
1. Please print and fill out the above form.
2. Please bring a photo copy of your ID and Insurance card.
3. Anyone ages of 16-17 must be accompanied by a parent/guardian
3. Location: Islamic Institute of America
26305 Ford Rd. Dearborn Heights, MI 48127
