Covid Vaccine - ChabadJewishLife.org

With special thanks to Rabbi Ebbin, Shawn Gross and Ohav Shalom committee we have partnered together to help people in our communities of Merrick- Bellmore- Wantagh.
to get vaccines. Please complete the form to register.
If you are not from Merrick- Bellmore- Wantagh click here to find other options.

Dates, time & location of appointments are random and you may have to travel up to 1 hour. Appointments on Long Island are very limited at this time. We will do our best to get you an appointment.

Once you submit the form you will be on a waiting list to get an appointment. Look out for an email directly from CDSM with your ticket. Make sure to bring and follow the instructions on your ticket.
Before filling out the form please click here to make sure you are eligible to receive the vaccine.
I have confirmed I'm eligbile to receive the vaccine.*

Yes.
Click here fill out the vaccine appointment form
Full Name*

First Name Last Name
E-mail*
Date of Birth*

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Phone Number*

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Address*

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