PRI COVID-19 Vaccination

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CBMM, Inc.

"Caring for Our Youth"

PRI COVID-19 Vaccination Record Submission

First Name

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Student or Volunteer?

Student

Volunteer

Upload COVID-19 Vaccination File

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I understand that I am required to provide accurate information about my vaccination status. By, submitting my response, I hereby affirm that I am providing my truthful COVID-19 vaccination record.

Thanks for submitting!

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Concerned Black Men of Massachusetts, Inc

Improving the Quality of the Black Community by Reaffirming the Vitality of the Black Male

Contact Us

Email: admin@cbmm.net

Address

136 Warren Street

Boston, Massachusetts 02119

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