Signup Form

Vaccination Sign Up

The Central Baptist Church of Camp Springs in Partnership with District 8 Councilwoman Monique Anderson-Walker are signing up and registering people for a COVID-19 Vaccination Clinic beginning mid-March. You will receive an email with an appointment, based on vaccine supply. Please provide the following information and you will receive a follow up phone call to schedule an appointment.

* Email

This is a required field.

* First Name

* Last Name

* Phone Number

* Street Address

* City

State/Province

* Postal Code

Company

* Birthday

By submitting this form, you are consenting to receive marketing emails from: Central Baptist Church of Camp Springs, 5600 Old Branch Avenue, Temple Hills, MD 20748-2323, US, https://centralbaptistchurchcs.org/
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