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HEALTH RECORD FORM AND AGREEMENT & INDEMNIFICATION FORM

posted Mar 31, 2017, 8:17 AM by Hiromi Takahashi

Please submit your child’s Health Record form and Agreement & Indemnification form by April 15.

1. Agreement & Indemnification form is printed on the back page of Health Record form. Please sign all items before turning it in to the school office.

2. If your child is in 5-year-old kindergarten class, please attach an immunization record from your child’s doctor’s office.

3. New students are not required to re-submit the form.


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