Please click on the form to view and print

Form 1: Child’s Personal Information

Form 2: Emergency Medical Authorization

Form 3: Parental Agreement

Form 4: DBP Authorization for Emergency Contact

Form 5: Health Certificate (must be stamped/signed by a doctor)

Form #3231 Certificate of Immunization provided by a Doctor/Health Department

The Immunization form #3231 is valid until its date of expiration and the Health Certificate is valid for one year from the date of the last doctor appointment listed on the form.