[NFBA-Phoenix] Fwd: Vaccine Form for April 7 Event

[jdfmoon at gmail.com]

Sent from my iPhone

Begin forwarded message:

> From: jdfmoon at gmail.com
> Date: April 3, 2021 at 10:59:49 AM MST
> To: nfba-phoenix at nfbnet.org
> Subject: Vaccine Form for April 7 Event
> 
> 
> Hi Federation Family:
> Attached is the Jansen vaccine consent form for this Wednesday’s event at SAAVI in Phoenix. If you need help filling it out, please let me know. Please fill this out and send to me by Monday. If you mark that you have insurance, you need to put all your insurance info. Easiest thing to do is to mark that you do not  have private insurance then you can leave it blank.
> Take care,
> Jordan Moon
>  
>  
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://nfbnet.org/pipermail/nfba-phoenix_nfbnet.org/attachments/20210405/91babcca/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: Janssen Covid 19 Vaccine consent form.docx
Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Size: 57248 bytes
Desc: not available
URL: <http://nfbnet.org/pipermail/nfba-phoenix_nfbnet.org/attachments/20210405/91babcca/attachment.docx>
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://nfbnet.org/pipermail/nfba-phoenix_nfbnet.org/attachments/20210405/91babcca/attachment-0001.html>