Student Immunization Record/Waiver

  • Reminder:

    • State law requires students meet certain age/grade immunization requirements.
    • Utilize this form to update your child's immunization record with the school.
    • If for health reasons, religious reasons or for personal conviction reasons you wish NOT to have your child immunized; fill in Step 4 of this form, to officially waive these requirements.  This must be on file with the school to meet legal obligations.
    • For the 2017-18 school year immunization requirements, click the following link or see the school newsletter.