Vaccine Registration

We are glad you are here! We are happy to share that the COVID Response Network, under the leadership of Lighthouse, have partnered together to make Thanksgiving meals available upon request to those we are serving in Oakland County. If you are interested in receiving a Thanksgiving meal for your household, please fill out the form and someone from our partner agency will be following up. 

If the form submission was successful, you don’t have to do anything more – we received your information, and someone will follow up with you!

  • Personal Information

    Please confirm your information. If any information is incorrect, please correct it.
  • This must be the phone of the person receiving the vaccine.
  • This must be the email for the person receiving the vaccine.
  • Date Format: MM slash DD slash YYYY
  • Waiver and Consent

  • This field is for validation purposes and should be left unchanged.