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Get Howard College Bacterial Meningitis Vaccination Exemption Form

______ Home Address:_____________________________________________________________________________ Telephone #:_______________________________ HC Email:_______________________________________ Please  read  and  place  an  “X”  next  to the exemption you are requesting, sign, date and submit to your campus registrar. I am claiming a Bacterial Meningitis Vaccine exemption due to health reasons. Attached is a signed affidavit or certificate from a physician that states the vaccination wou.

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  • Immunization
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  • REGISTRAR
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  • Meningitis
  • bacterial
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  • Vaccine
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