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NOTICE: Vaccine is currently available only for all ages 18 and up per the State of Texas. Please note that upon being placed on this waitlist you will be selected for a vaccine based on a prioritized and randomized process. Please understand at this time vaccine in Boerne and Kendall County is limited. Also, please understand that this is a waiting list for the vaccine and not a guarantee that you will receive an appointment. If you are offered vaccine elsewhere, please take that opportunity and please let us know that you need to be removed from the City of Boerne/Kendall County Vaccine Registration waiting list if you find the vaccine elsewhere, by sending and email to covid19@boerne-tx.gov.
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Boerne/Kendall County COVID-19 Vaccine Registration Waiting List
Patient Information
Identification
*
Example: State-issued Driver License/ID number, Passport, REAL ID, Green Card ID, USCIS Number
Full Name
*
First Name
Last Name
Email
*
example@example.com
Birthdate
*
-
Month
-
Day
Year
Date of Birth
Current Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Age
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
County
*
Please Select
Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie
Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
Deaf Smith
Delta
Denton
DeWitt
Dickens
Dimmit
Donley
Duval
Eastland
Ector
Edwards
El Paso
Ellis
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
Frio
Gaines
Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
Jim Wells
Johnson
Jones
Karnes
Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
Knox
La Salle
Lamar
Lamb
Lampasas
Lavaca
Lee
Leon
Liberty
Limestone
Lipscomb
Live Oak
Llano
Loving
Lubbock
Lynn
Madison
Marion
Martin
Mason
Matagorda
Maverick
McCulloch
McLennan
McMullen
Medina
Menard
Midland
Milam
Mills
Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan
Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
Sherman
Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
Zavala
Select or enter the county where you reside
Phone Number
*
Please enter a valid phone number.
Race
*
Please Select
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Black or African-American
White
Ethnicity
*
Please Select
Hispanic or Latino
Not Hispanic or Latino
Gender
*
Please Select
Male
Female
Mother's Name
*
Mother's Maiden Name
*
Submit
Administration
First Vaccine Administration Date
-
Month
-
Day
Year
Date
First Vaccine Site
Please Select
Left deltoid muscle of arm
Right deltoid muscle of arm
First Vaccine Maker
Please Select
Pfizer, Inc
Moderna US, Inc
First Vaccine Lot #
Manufacturer Code
Product Code
1st Dose Expiration Date
-
Month
-
Day
Year
Date
1st Dose Administered By
Please Select
Philip Nucio
Mully Madden
Leslie Hernandez
Conrad Gonzales
Rey Juarez
Melody Juarez
Michele Prescot
Michelle Acorn
Lyle Mattick
Steve Simon
Brady Constatine
Joe Rodriguez
Tom Shannon
Toby Vicknair
Faith Rahm
Cheryl White
Don Davis
Second Vaccine Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Second Vaccine Site
Please Select
Left deltoid muscle of arm
Right deltoid muscle of arm
Left anterolateral thigh
Right anterolateral thigh
Second Vaccine Maker
Please Select
Pfizer, Inc
Moderna US, Inc
Second Vaccine Lot #
Manufacturer Code
Product Code
2nd Dose Expiration Date
-
Month
-
Day
Year
Date
2nd Dose Administered By
Please Select
Tommy Baker
Kate Andrew
Steven Greenwood
Jane Rubio
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