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Complete the form below. Required fields marked with an asterisk *
Please indicate whom the student will be living with (This section may be left blank if not known).
Please clearly list the dates each for vaccine given. All requirements must be met for student to attend school ( This form must be accompanied with corresponding vaccination evidence in English).
Polio (Four Doses Required):
DTap / Tdap - Diptheria, Tetanus, Pertussis( Four Doses Required for ages up through 11 years of age. Five doses required for ages 12 and up). **(Ages 12 and up)
MMR - Measles, Mumbs, Rubella ( Two Doses Required)
Hepatitus B ( Three Doses)
Varicella - Chicken Pox (One Dose Required) *If student had disease, the vaccine is not required, but must be verified by medical doctor.
Second Varicella required if student is 14 years or over.
Please have future applicant read the School Civil Rights Agreement.
I understand the student is expected to behave in a respectful, polite manner, obeying all rules and regulations of Oakridge School in the classrooms, playgrounds and facilities. Any disruptions and or infractions will result in immediate dismissal / expulsion of the student and forfeiture of all fees and tuition.
Each and every student has rights and responsibilities as set forth below, regardless of nationality, gender, race, ethnic or religious background:
Application Received: ____________________________ Grade:_________
Copy of Passport: ___________________ Shot Records: ______________________________________
Date of Enrollment: ___________________