Get Immunization Waiver - Spring Vale Academy - Quarton Birmingham K12 Mi

Filling out the Immunization Waiver for Spring Vale Academy is an essential step for parents or guardians who wish to exempt their child from certain vaccinations. This guide provides a clear, step-by-step approach to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the Immunization Waiver form.

1. Click ‘Get Form’ button to obtain the Immunization Waiver form, which will open in your selected editor.
2. Provide the child's first and last name in the designated field, ensuring to enter the correct spelling.
3. Enter the child's date of birth in the format requested, typically MM/DD/YYYY, to verify their age.
4. In the section that lists vaccine options, select the vaccinations you are opting out of by marking the corresponding boxes. Ensure you review the list for accuracy.
5. Below the vaccination selection, write your reason for exemption in the space provided, clearly stating your religious or philosophical objection.
6. Fill in the names of the parent or guardian responsible for this application, ensuring it matches any official identification.
7. Include the current address and telephone number for the parent or guardian for communication purposes.
8. If applicable, provide the address and telephone number of the preschool program or day care affecting the child, using a separate line if necessary.
9. Review all entries for clarity and correctness before affixing your signature in the designated area.
10. Indicate the date on which you are signing the form, ensuring it aligns with your submission.
11. Finalize the process by saving the changes you made in the editor. Depending on your needs, you can download, print, or share the signed form.

Submit your Immunization Waiver form online today to ensure your child's exemption is processed smoothly.