Dear Families,
As you might be aware, all New Yorkers age 5 and older can now receive a free COVID-19 vaccine. This is great news for the health and safety of your child, your family, your school community, and the whole city!

In partnership with the City’s vaccination effort, PS 101 is offering
the first dose OR second dose of Pfizer vaccinations to eligible students ages 5-11 on
December 7, 2021 from 7:30am-4:00pm.

No appointment is needed.
Getting your child vaccinated is safe, confidential, and easy.

As a reminder, a parent or guardian must accompany the child and the custodial parent must give consent if not present using the form below. Please note that once children take the vaccine they cannot return to class that day and will go home with thier parent or guardian so they can monitor for any side effects from the vaccine.

To help us better prepare, please use this form to indicate if you are thinking about having your child take the vaccine on December 7.

This is the consent form needed if a parent is not accompanying the child. If a parent is accompanying their child a form will not be needed.

Here’s what you need to know:
-COVID-19 vaccines are safe and effective at preventing COVID-19 illness; millions of people have already been safely vaccinated in New York City.
– You do not need health insurance to get vaccinated—the vaccine is free.
– You will not need to provide proof of immigration status or a social security number to get vaccinated.
-Students ages 5-11 must be accompanied by a parent or legal guardian, or by an adult designated by the parent or guardian, while receiving their vaccine. If the student is accompanied by an adult who is not the parent or guardian, the vaccine provider must obtain verbal consent from the parent or guardian by phone at the time of vaccination.
-Vaccines are administered by trained medical professionals.
– Your school’s pop-up vaccination site will administer your student’s first dose of the Pfizer vaccine. The vaccine provider will refer families to a local vaccine site for students to receive their second dose.
-All records and information associated with vaccination are kept strictly confidential.
-On-site telephone interpretation will be available in multiple languages.
-While strongly recommended, vaccinations are not currently mandatory for most students. You can learn more about vaccine requirements in schools by visiting schools.nyc.gov/covid19.
-You are encouraged to record your student’s vaccination status in the DOE’s COVID-19 Vaccination Portal at vaccine.schools.nyc. Submitting this information will support New York City’s pandemic response and recovery efforts, and help ensure that DOE schools and buildings remain safe places for all students and staff.
-By getting your child vaccinated, you are protecting them, your family and community from COVID-19 illness. Vaccinations help move our city forward, restore in-person gathering, and improve quality of life. If you, your student age 12 and up, or someone else you know is still in need of a vaccine, you can visit vaccinefinder.nyc.gov today to choose from hundreds of sites across the city offering appointments or walk-up vaccines at no cost.

If you have any questions about the COVID-19 vaccine, visit nyc.gov/covidvaccine for all the facts. We strongly urge you to get your child vaccinated soon.

Frequently Asked Questions 

 
Can members of the community get the vaccine at my pop-up vaccination site? 

• Only students ages 5-11 can obtain the first dose of the vaccine at the pop-up site. 
• Anyone age 12 and up can visit vaccinefinder.nyc.gov to choose from hundreds of sites across the city offering appointments or walk-up vaccines at no cost. 

Will the provider return to the school for the second dose?  

• No. The provider will refer families to a local vaccine site for students to receive their second dose.  
• All necessary paperwork will be given to the parent/client at the time of first dose. 

How does the provider obtain consent? 

• Students ages 5-11 must be accompanied by a parent or legal guardian, or by an adult designated by the parent or guardian, while receiving their vaccine. This requirement is outlined in the Vaccine Family Letter and schools should accommodate parent and guardian admission to the vaccine site to accompany their student.  
• If the student is accompanied by an adult who is not the parent or guardian, the vaccine provider must obtain verbal consent from the parent or guardian by phone at the time of vaccination. 
• There is no consent form option for vaccination of students ages 5-11, as they must be accompanied by the parent, legal guardian, or adult designated by the parent or guardian at the time of vaccination.  

Does the parent/guardian need to fill out the visitor screening in order to enter the building? 

• Yes, the parent/guardian accompanying the student to the vaccination site should adhere to the DOE’s Visitor Policy and Protocol for Visitors. 
• Any individual accompanying their child to get vaccinated against COVID-19 at a DOE vaccine site is not required to show proof of vaccination in order to enter the building for this purpose. Please inform your School Safety Agent of this visitor vaccine mandate exemption.   

Sincerely,
Christopher Groll
Christopher Groll
Acting Assistant Commissioner
Office of School Health
Division of School Climate & Wellness
NYC Department of Education

Dear Families,

As previously announced, PS101 will be a a pop-up vaccination site for 5-11 year old children Wednesday November 10 from 12:30-4pm.

As a reminder, a parent or guardian must accompany the child and the custodial parent must give consent if not present using the form below. Please note that once children take the vaccine they cannot return to class that day and will go home with thier parent or guardian so they can monitor for any side effects from the vaccine.

To help us better prepare, please use this form to indicate if you are thinking about having your child take the vaccine next week.

This is the consent form needed if a parent is not accompanying the child. If a parent is accompanying their child a form will notr be needed.

.

Here’s what you need to know:
-COVID-19 vaccines are safe and effective at preventing COVID-19 illness; millions of people have already been safely vaccinated in New York City.
– You do not need health insurance to get vaccinated—the vaccine is free.
– You will not need to provide proof of immigration status or a social security number to get vaccinated.
-Students ages 5-11 must be accompanied by a parent or legal guardian, or by an adult designated by the parent or guardian, while receiving their vaccine. If the student is accompanied by an adult who is not the parent or guardian, the vaccine provider must obtain verbal consent from the parent or guardian by phone at the time of vaccination.
-Vaccines are administered by trained medical professionals.
– Your school’s pop-up vaccination site will administer your student’s first dose of the Pfizer vaccine. The vaccine provider will refer families to a local vaccine site for students to receive their second dose.
-All records and information associated with vaccination are kept strictly confidential.
-On-site telephone interpretation will be available in multiple languages.
-While strongly recommended, vaccinations are not currently mandatory for most students. You can learn more about vaccine requirements in schools by visiting schools.nyc.gov/covid19.
-You are encouraged to record your student’s vaccination status in the DOE’s COVID-19 Vaccination Portal at vaccine.schools.nyc. Submitting this information will support New York City’s pandemic response and recovery efforts, and help ensure that DOE schools and buildings remain safe places for all students and staff.
-By getting your child vaccinated, you are protecting them, your family and community from COVID-19 illness. Vaccinations help move our city forward, restore in-person gathering, and improve quality of life. If you, your student age 12 and up, or someone else you know is still in need of a vaccine, you can visit vaccinefinder.nyc.gov today to choose from hundreds of sites across the city offering appointments or walk-up vaccines at no cost.

If you have any questions about the COVID-19 vaccine, visit nyc.gov/covidvaccine for all the facts. We strongly urge you to get your child vaccinated soon.

Frequently Asked Questions 

 
Can members of the community get the vaccine at my pop-up vaccination site? 

• Only students ages 5-11 can obtain the first dose of the vaccine at the pop-up site. 
• Anyone age 12 and up can visit vaccinefinder.nyc.gov to choose from hundreds of sites across the city offering appointments or walk-up vaccines at no cost. 

Will the provider return to the school for the second dose?  

• No. The provider will refer families to a local vaccine site for students to receive their second dose.  
• All necessary paperwork will be given to the parent/client at the time of first dose. 

How does the provider obtain consent? 

• Students ages 5-11 must be accompanied by a parent or legal guardian, or by an adult designated by the parent or guardian, while receiving their vaccine. This requirement is outlined in the Vaccine Family Letter and schools should accommodate parent and guardian admission to the vaccine site to accompany their student.  
• If the student is accompanied by an adult who is not the parent or guardian, the vaccine provider must obtain verbal consent from the parent or guardian by phone at the time of vaccination. 
• There is no consent form option for vaccination of students ages 5-11, as they must be accompanied by the parent, legal guardian, or adult designated by the parent or guardian at the time of vaccination.  

Does the parent/guardian need to fill out the visitor screening in order to enter the building? 

• Yes, the parent/guardian accompanying the student to the vaccination site should adhere to the DOE’s Visitor Policy and Protocol for Visitors. 
• Any individual accompanying their child to get vaccinated against COVID-19 at a DOE vaccine site is not required to show proof of vaccination in order to enter the building for this purpose. Please inform your School Safety Agent of this visitor vaccine mandate exemption.   

Sincerely,
Christopher Groll
Christopher Groll
Acting Assistant Commissioner
Office of School Health
Division of School Climate & Wellness
NYC Department of Education

Dear Families,
As you might be aware, all New Yorkers age 5 and older can now receive a free COVID-19 vaccine. This is great news for the health and safety of your child, your family, your school community, and the whole city!

In partnership with the City’s vaccination effort, PS 101 is offering
the first dose of Pfizer vaccinations to eligible students ages 5-11 on November 10, 2021 from 12:30pm-4:00pm.

No appointment is needed.
Getting your child vaccinated is safe, confidential, and easy.

Here’s what you need to know:
-COVID-19 vaccines are safe and effective at preventing COVID-19 illness; millions of people have already been safely vaccinated in New York City.
– You do not need health insurance to get vaccinated—the vaccine is free.
– You will not need to provide proof of immigration status or a social security number to get vaccinated.
-Students ages 5-11 must be accompanied by a parent or legal guardian, or by an adult designated by the parent or guardian, while receiving their vaccine. If the student is accompanied by an adult who is not the parent or guardian, the vaccine provider must obtain verbal consent from the parent or guardian by phone at the time of vaccination.
-Vaccines are administered by trained medical professionals.
– Your school’s pop-up vaccination site will administer your student’s first dose of the Pfizer vaccine. The vaccine provider will refer families to a local vaccine site for students to receive their second dose.
-All records and information associated with vaccination are kept strictly confidential.
-On-site telephone interpretation will be available in multiple languages.
-While strongly recommended, vaccinations are not currently mandatory for most students. You can learn more about vaccine requirements in schools by visiting schools.nyc.gov/covid19.
-You are encouraged to record your student’s vaccination status in the DOE’s COVID-19 Vaccination Portal at vaccine.schools.nyc. Submitting this information will support New York City’s pandemic response and recovery efforts, and help ensure that DOE schools and buildings remain safe places for all students and staff.
-By getting your child vaccinated, you are protecting them, your family and community from COVID-19 illness. Vaccinations help move our city forward, restore in-person gathering, and improve quality of life. If you, your student age 12 and up, or someone else you know is still in need of a vaccine, you can visit vaccinefinder.nyc.gov today to choose from hundreds of sites across the city offering appointments or walk-up vaccines at no cost.

If you have any questions about the COVID-19 vaccine, visit nyc.gov/covidvaccine for all the facts. We strongly urge you to get your child vaccinated soon.

Frequently Asked Questions 

 
Can members of the community get the vaccine at my pop-up vaccination site? 

• Only students ages 5-11 can obtain the first dose of the vaccine at the pop-up site. 
• Anyone age 12 and up can visit vaccinefinder.nyc.gov to choose from hundreds of sites across the city offering appointments or walk-up vaccines at no cost. 

Will the provider return to the school for the second dose?  

• No. The provider will refer families to a local vaccine site for students to receive their second dose.  
• All necessary paperwork will be given to the parent/client at the time of first dose. 

How does the provider obtain consent? 

• Students ages 5-11 must be accompanied by a parent or legal guardian, or by an adult designated by the parent or guardian, while receiving their vaccine. This requirement is outlined in the Vaccine Family Letter and schools should accommodate parent and guardian admission to the vaccine site to accompany their student.  
• If the student is accompanied by an adult who is not the parent or guardian, the vaccine provider must obtain verbal consent from the parent or guardian by phone at the time of vaccination. 
• There is no consent form option for vaccination of students ages 5-11, as they must be accompanied by the parent, legal guardian, or adult designated by the parent or guardian at the time of vaccination.  

Does the parent/guardian need to fill out the visitor screening in order to enter the building? 

• Yes, the parent/guardian accompanying the student to the vaccination site should adhere to the DOE’s Visitor Policy and Protocol for Visitors. 
• Any individual accompanying their child to get vaccinated against COVID-19 at a DOE vaccine site is not required to show proof of vaccination in order to enter the building for this purpose. Please inform your School Safety Agent of this visitor vaccine mandate exemption.   

Sincerely,
Christopher Groll
Christopher Groll
Acting Assistant Commissioner
Office of School Health
Division of School Climate & Wellness
NYC Department of Education