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Student Immunization Upload

Please use this form to upload your child's immunization record. This must be completed for new students and students entering Kindergarten. Students entering 8th grade need proof of Tdap and Meningococcal vaccines. If you have any question, please email [email protected] or call the school office.

Family Name*

Answer required for "Family Name"

Parent Email*

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Parent Phone Number*

Number Required

Student Last Name*

Answer required for "Student Last Name"

Student First Name*

Answer required for "Student First Name"

Student Grade For School Year Beginning August 1*

Answer required for "Student Grade For School Year Beginning August 1"

Please upload a copy of your child's immunization record.*

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