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West Madison Youth Hockey Association

Vaccine Clinic

Thank you for joining us for our 2023 Vaccine Clinic

And thank you to all of our volunteers who helped make the event  on October 25, 2023 such a great success! 

Vaccine Clinic at Madison Ice Arena - Wednesday, October 26, 2022

As a benefit to our Polar Caps and West Side Hockey Community we have worked with the Mobile Vaccine Clinic to bring the mobile vaccine clinic to MIA on WEDNESDAY, OCTOBER 26, 2022 from 6:00 - 9:00 p.m.  This is a clinic that is supported by and accepted by all local health plans that provides vaccines to anyone over age 5.  The vaccine clinic will provide vaccines to ANYONE OVER AGE 5, not just registered Polar Caps players.  This is an excellent opportunity for you to get your family vaccinated at a time and location that is hopefully more convenient for our families.  The following vaccines will be offered:

  • Pfizer COVID vaccine 5-11 years old

  • Pfizer COVID 12+ first or second shots

  • Pfizer COVID Bivalent booster for 12+ years

  • HPV

  • Flu

  • Meningococcal

  • Tdap (tetanus)

 

Register for Vaccine Clinic Ages 5-11

Register for Vaccine Clinic Ages 12 and Older

Pre-registration is now closed.

You may register on Wednesday if you want a vaccine, and we will give as many vaccines as we have on hand and try to be as timely as we can based on the number of vaccinators that we have available.

To expedite the process on the day of the clinic, please fill out the appropriate consent forms below.

The vaccine clinic asks everyone to sign up ahead of time for their vaccines so that they can ensure that they bring an adequate supply.  It also enables their staff to confirm that you are eligible for the vaccine and if you are eligible for more than just what you signed up for they may reach out to see if you want additional shots that day.  All vaccines given by the clinic are entered into the Wisconsin Immunization Registry (WIR) and your primary care provider will be able to access all the information about these vaccines.  If we have more demand for vaccines than we initially have slots, we will find more vaccinators and open more slots!  

SIGN UP FOR VACCINE- Please plan to arrive 5-10 minutes before your scheduled time.

Ages 5-11: https://www.signupgenius.com/go/20F044FAFA92EA3FF2-polar

Ages 12 and Older: https://www.signupgenius.com/go/20F044FAFA92EA3FF2-polar1

WE NEED VOLUNTEERS

WE NEED VOLUNTEERS  to make this event a success.  THIS WILL COUNT FOR DIBS HOURS!  So, if you don’t love working the concession stand, come help with the vaccine clinic! You DO NOT have to have a healthcare background to volunteer, although only those with healthcare backgrounds can administer vaccines.   Please reach out to Laura Mendyk at llmendyk@gmail.com or 608.843.8153 if you are willing to help or have any questions either about the clinic or volunteering.  All volunteers will have 2 hour shifts from either 5:30-7:30 or 7-9.  Vaccinators are required to take an at home training module that should take 30 minutes or less to complete.

Consent Forms

To save time, please fill out the appropriate consent forms ahead of your appointment:

Information Statements

Review CDC vaccine information statements:

Laura Mendyk

Polar Caps Medical Director

Phone: 608-843-8153